# COBBS WESTSIDE PHARMACY INC

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811689938
- **Authorized official:** DR. WILLIAM JOHN COBB PHARMD (PRESIDENT/PHARMACIST)
- **Authorized official phone:** (479) 968-7180

## Contact information

- **Practice address:** 108 SKYLINE DR STE B, RUSSELLVILLE, AR 72801-3306
- **Practice address phone:** (479) 968-7180
- **Practice address fax:** (479) 967-0884
- **Mailing address:** 108 SKYLINE DR STE B, RUSSELLVILLE, AR 72801-3306
- **Mailing address phone:** (479) 968-7180
- **Mailing address fax:** (479) 967-0884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/25/2023
- **Last updated:** 05/25/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 160234407 | — | AR |