Provider Demographics
NPI:1659651123
Name:KOBER, MARGARET MARIE (RPH, MPA)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:MARIE
Last Name:KOBER
Suffix:
Gender:F
Credentials:RPH, MPA
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:MARIE
Other - Last Name:PECKHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6103 UNION VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:VA
Mailing Address - Zip Code:20124-2321
Mailing Address - Country:US
Mailing Address - Phone:703-801-6667
Mailing Address - Fax:
Practice Address - Street 1:276 W LEE HWY
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-2501
Practice Address - Country:US
Practice Address - Phone:540-347-5917
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-27
Last Update Date:2011-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202006480183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist