Provider Demographics
NPI:1902353162
Name:KOUL, SACHIN (RPH)
Entity type:Individual
Prefix:
First Name:SACHIN
Middle Name:
Last Name:KOUL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 SILVERTON CT
Mailing Address - Street 2:
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-2444
Mailing Address - Country:US
Mailing Address - Phone:443-823-2782
Mailing Address - Fax:
Practice Address - Street 1:14 SILVERTON CT
Practice Address - Street 2:
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030-2444
Practice Address - Country:US
Practice Address - Phone:443-823-2782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-06
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18276183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist