Organization
COBURNS PHARMACY LLC
Active
Other names
COBURNS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER COBURN (OWNER PIC)
(254) 746-7845
Entity
Organization
Contact information
Practice address
101 S AUSTIN ST, BREMOND, TX 76629-5036
(254) 746-7845
(254) 746-7370
Mailing address
PO BOX 160, BREMOND, TX 76629-0160
(254) 746-7845
(254) 746-7370
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
29103
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145476
—
TX
01
—
2092653
PK
—
Enumeration date
08/18/2006
Last updated
11/12/2021
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