Individual
JONATHAN COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5410 ILLINOIS AVE, NASHVILLE, TN 37209-2115
(731) 499-3336
Mailing address
5410 ILLINOIS AVE, NASHVILLE, TN 37209-2115
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
41358
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41358
TENNESSEE BOARD OF PHARMACY
TN
Enumeration date
11/11/2018
Last updated
11/11/2018
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