Organization
COBRA PHARMACY, LLC
Active
Other names
Holbrook's Hometown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON LEE HOLBROOK PHARMD, RPH (MEMBER/PHARMACIST IN CHARGE)
(740) 357-8426
Entity
Organization
Contact information
Practice address
37 C LUCASVILLE-MINFORD ROAD, LUCASVILLE, OH 45648
(740) 357-8426
Mailing address
37C LUCASVILLE MINFORD RD, LUCASVILLE, OH 45648-9023
(740) 259-0041
(740) 259-0044
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
02242120003
OH
Other
Enumeration date
09/15/2014
Last updated
04/27/2018
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