Individual
SHAUN M COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
201 DATES DR, SUITE 102, ITHACA, NY 14850-1345
(607) 252-3307
(607) 274-4534
Mailing address
201 DATES DR, SUITE 102, ITHACA, NY 14850-1345
(607) 252-3307
(607) 274-4534
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
040703
NY
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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