Organization
COBALT PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THEODORE KENNETH FERGUSON II (CEO)
(352) 232-0839
Entity
Organization
Contact information
Practice address
7135 STATE ROAD 52, UNIT 103, HUDSON, FL 34667-6782
(727) 378-3598
(888) 347-2413
Mailing address
14194 OAK KNOLL ST, SPRING HILL, FL 34609-3158
(352) 232-0839
(888) 347-2413
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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