NPI | 1457309148 |
---|---|
Doing Business As | COBBS WESTSIDE PHARMACY INC |
Entity Type | Organization |
Authorized Contact | WILLIAM JOHN COBB Pharmacist 479-968-7180 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR00907) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2006-05-04 |
Last Update Date | 2020-02-24 |