National Provider Identifier Database

COBRA PHARMACY LLC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

COBRA PHARMACY, LLC
37 C LUCASVILLE-MINFORD ROAD
LUCASVILLE, OH45648
Phone: 740-357-8426
Fax:
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for COBRA PHARMACY, LLC

NPI Number 1558762138
Legal business name
LBN
COBRA PHARMACY, LLC
Authorized official BRANDON HOLBROOK - (MEMBER/PHARMACIST IN CHARGE)
Entity Organization
Organization subpart No
Enumeration date 09/15/2014
Last updated 04/27/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • OH License #: 02242120003

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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