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Organization

COBBS WESTSIDE PHARMACY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM JOHN COBB PHARMD (PRESIDENT/PHARMACIST)
(479) 968-7180
Entity
Organization

Contact information

Practice address
108 SKYLINE DR STE B, RUSSELLVILLE, AR 72801-3306
(479) 968-7180
(479) 967-0884
Mailing address
108 SKYLINE DR STE B, RUSSELLVILLE, AR 72801-3306
(479) 968-7180
(479) 967-0884

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
160234407
AR
Enumeration date
05/25/2023
Last updated
05/25/2023
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