Individual
PHILIP BRADFORD COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
(541) 830-3504
Mailing address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
(541) 830-3504
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS 15352
FL
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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