Organization
COBBS WESTSIDE PHARMACY INC
Active
Other names
COBBS WESTSIDE PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JOHN COBB PHARMD (PHARMACIST)
(479) 968-7180
Entity
Organization
Contact information
Practice address
108 SKYLINE DR, STE B, RUSSELLVILLE, AR 72801-3362
(479) 968-7180
(479) 967-0884
Mailing address
108 SKYLINE DR, STE B, RUSSELLVILLE, AR 72801-3362
(479) 968-7180
(479) 967-0884
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR00907
AR
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160234407
—
AR
01
—
1992803
PK
—
Enumeration date
05/04/2006
Last updated
02/24/2020
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