Cobbs Westside Pharmacy Inc
LBN: Cobbs Westside Pharmacy Inc
Cobbs Westside Pharmacy Inc is an health care organization with primary practice located at 108 Skyline Dr Ste B, Russellville AR 72801-3362. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Cobbs Westside Pharmacy Inc can be contacted via phone (479) 968-7180, or through Cobb, William John via phone (479) 968-7180.
Contact Information
Primary practice address
108 Skyline Dr Ste B
Russellville AR 72801-3362
Phone: (479) 968-7180
Fax: (479) 967-0884
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | AR00907 | Arkansas |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1457309148 |
|---|---|
| LBN Legal business name | Cobbs Westside Pharmacy Inc |
| DBA Doing business as | Cobbs Westside Pharmacy Inc |
| Authorized official | Cobb, William John PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Feb 24th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457309148 | NPPES |
| Arkansas | MEDICAID | 160234407 | |
| Arkansas | Other | 1992803 |
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