Provider Demographics
NPI:1962235978
Name:KOHAR, EDWARD II (RPH)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:
Last Name:KOHAR
Suffix:II
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 1:1007 HARVEST DR
Mailing Address - Street 2:
Mailing Address - City:ALIQUIPPA
Mailing Address - State:PA
Mailing Address - Zip Code:15001-4370
Mailing Address - Country:US
Mailing Address - Phone:724-544-0812
Mailing Address - Fax:
Practice Address - Street 1:1007 HARVEST DR
Practice Address - Street 2:
Practice Address - City:ALIQUIPPA
Practice Address - State:PA
Practice Address - Zip Code:15001-4370
Practice Address - Country:US
Practice Address - Phone:724-544-0812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH03438198183500000X
PARP038308L183500000X
WVRP0007421183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist