Provider Demographics
NPI:1477928422
Name:COBUS, CHAD (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:
Last Name:COBUS
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2286 JEFFERSON DAVIS HWY
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-8972
Mailing Address - Country:US
Mailing Address - Phone:919-777-5983
Mailing Address - Fax:919-777-5978
Practice Address - Street 1:2286 JEFFERSON DAVIS HWY
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-8972
Practice Address - Country:US
Practice Address - Phone:919-777-5983
Practice Address - Fax:919-777-5978
Is Sole Proprietor?:No
Enumeration Date:2015-12-02
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC25696183500000X
WI17112-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist