Provider Demographics
NPI:1588810261
Name:COBB, RHONDA L (RPH)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:L
Last Name:COBB
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 HIGH POINT ST
Mailing Address - Street 2:
Mailing Address - City:RANDLEMAN
Mailing Address - State:NC
Mailing Address - Zip Code:27317-7192
Mailing Address - Country:US
Mailing Address - Phone:336-495-3794
Mailing Address - Fax:336-495-3789
Practice Address - Street 1:1021 HIGH POINT ST
Practice Address - Street 2:
Practice Address - City:RANDLEMAN
Practice Address - State:NC
Practice Address - Zip Code:27317-7192
Practice Address - Country:US
Practice Address - Phone:336-495-3794
Practice Address - Fax:336-495-3789
Is Sole Proprietor?:No
Enumeration Date:2008-08-13
Last Update Date:2014-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13511183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist