Individual
MEGHAN COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
146 S THOMAS ST STE A, TUPELO, MS 38801-5328
(662) 842-6204
Mailing address
146 S THOMAS ST STE A, TUPELO, MS 38801-5328
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-010204
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E-010204
PHARMACIST LICENSE
MS
Enumeration date
06/05/2017
Last updated
06/16/2018
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