Individual
DR. JATHAN COLE COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
1442 N HARRISON ST, SHAWNEE, OK 74801-5208
(405) 273-9906
(405) 273-2349
Mailing address
1442 N HARRISON ST, SHAWNEE, OK 74801-5208
(405) 273-9906
(405) 273-2349
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14056
OK
Other
Enumeration date
09/01/2007
Last updated
09/01/2007
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