Cogburn Health Center Pharmacy

LBN: Cogburn Health Center Pharmacy
Cogburn Health Center Pharmacy is an health care organization with primary practice located at 2651 Cameron St Suite F, Mobile AL 36607-3127. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Cogburn Health Center Pharmacy can be contacted via phone (251) 476-4941, or through Cannon, Ronnie via phone (251) 476-4941.

Contact Information

Primary practice address
2651 Cameron St Suite F Mobile AL 36607-3127
Phone: (251) 476-4941
Fax: (251) 476-4780
Website:
Map and Directions
Authorized official contact:
Name: Cannon, Ronnie RPH
Phone: (251) 476-4941

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 120095 Alabama
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1073539920
LBN Legal business name Cogburn Health Center Pharmacy
DBA Doing business as
Authorized official Cannon, Ronnie RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2006
Last updated Jun 20th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073539920 NPPES
Alabama MEDICAID 100100049
Alabama Other 0108161

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