Organization
COBBS WESTSIDE PHARMACY INC
Active
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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