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Organization
COBRA PHARMACY, LLC
Active
Organization
COBRA PHARMACY, LLC
Active
Other names
Holbrook's Hometown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON LEE HOLBROOK PHARMD, RPH (MEMBER/PHARMACIST IN CHARGE)
(740) 357-8426
Entity
Organization
Contact information
Practice address
37 C LUCASVILLE-MINFORD ROAD, LUCASVILLE, OH 45648
(740) 357-8426
Mailing address
37C LUCASVILLE MINFORD RD, LUCASVILLE, OH 45648-9023
(740) 259-0041
(740) 259-0044
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
02242120003
OH
Other
Enumeration date
09/15/2014
Last updated
04/27/2018
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