# COBRA PHARMACY, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Holbrook's Hometown Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558762138
- **Authorized official:** DR. BRANDON LEE HOLBROOK PHARMD, RPH (MEMBER/PHARMACIST IN CHARGE)
- **Authorized official phone:** (740) 357-8426

## Contact information

- **Practice address:** 37 C LUCASVILLE-MINFORD ROAD, LUCASVILLE, OH 45648
- **Practice address phone:** (740) 357-8426
- **Mailing address:** 37C LUCASVILLE MINFORD RD, LUCASVILLE, OH 45648-9023
- **Mailing address phone:** (740) 259-0041
- **Mailing address fax:** (740) 259-0044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 02242120003 | OH | Yes |

## Other

- **Enumeration date:** 09/15/2014
- **Last updated:** 04/27/2018