| NPI | 1487643953 |
|---|---|
| Doing Business As | COBB STREET PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JULIE TATKO CEO 231-745-5009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301008724) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2022-07-21 |