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Organization
COBURN INC
Active
Organization
COBURN INC
Active
Other names
NATURAL RX
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE COBURN RPH (OWNER)
(205) 339-3992
Entity
Organization
Contact information
Practice address
2801 LURLEEN WALLACE BLVD, NORTHPORT, AL 35476
(205) 339-3992
(205) 339-3306
Mailing address
2801 LURLEEN WALLACE BLVD, NORTHPORT, AL 35476
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
106762
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0123668
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
02/21/2007
Last updated
05/13/2011
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