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NPI 1558762138

OrganizationActive

Cobra Pharmacy, LLC

NPI 1558762138 · Pharmacy · Lucasville, OH

Provider details

NPI number: 1558762138
Entity type: Organization
Primary specialty: PharmacySuppliers
Authorized official: Brandon Holbrook, Member/Pharmacist in Charge
License: 02242120003 (OH)

Practice location

37 C Lucasville-Minford Road

Lucasville, OH 45648

Phone: (740) 357-8426

More OH providers

Mailing address

37c Lucasville Minford Rd

Lucasville, OH 45648-9023

Registry dates

Enumerated: 2014-09-15
Last updated: 2018-04-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Cobra Pharmacy, LLC — NPI 1558762138, Lucasville, OH | NPI Central