# COBB PHARMACY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013365055
- **Authorized official:** SYLVIA RISHING (OFFICER)
- **Authorized official phone:** (404) 258-8013

## Contact information

- **Practice address:** 3745 CHEROKEE ST NW, SUITE 603, KENNESAW, GA 30144-6733
- **Practice address phone:** (404) 252-8031
- **Mailing address:** 3745 CHEROKEE ST NW, SUITE 603, KENNESAW, GA 30144-6733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | GA | Yes |

## Other

- **Enumeration date:** 06/01/2016
- **Last updated:** 06/07/2016