Individual
MR. MARK ALLEN COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Mailing address
5312 GREENWOOD ST, SHAWNEE, KS 66216-5183
(913) 248-0523
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10621
KS
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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