# COBURN INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NATURAL RX
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871638197
- **Authorized official:** LUKE COBURN RPH (OWNER)
- **Authorized official phone:** (205) 339-3992

## Contact information

- **Practice address:** 2801 LURLEEN WALLACE BLVD, NORTHPORT, AL 35476
- **Practice address phone:** (205) 339-3992
- **Practice address fax:** (205) 339-3306
- **Mailing address:** 2801 LURLEEN WALLACE BLVD, NORTHPORT, AL 35476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 106762 | AL | Yes |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 05/13/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0123668 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |