Organization
COBBS DRUG STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRAD COBB PHRM (OWNER)
(479) 489-5433
Entity
Organization
Contact information
Practice address
100 FOURCHE, OLA, AR 72853
(479) 489-5433
(479) 489-3139
Mailing address
PO BOX 219, OLA, AR 72853-0219
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR05351
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0405351
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/07/2006
Last updated
01/10/2008
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