Individual
DR. ASHTON TYQUILAN COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
960 BACKSTAGE LANE, LAKE BUENA VISTA, FL 32830-8472
(407) 934-4100
(407) 934-4101
Mailing address
6818 SLAVEN DR, ORLANDO, FL 32819-4724
(904) 314-0407
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS53912
FL
Other
Enumeration date
07/14/2014
Last updated
12/22/2021
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