Provider Demographics
NPI:1629017033
Name:COBLE, ABBY C (PHARMD)
Entity type:Individual
Prefix:MISS
First Name:ABBY
Middle Name:C
Last Name:COBLE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:914 ALMA CT
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-3626
Mailing Address - Country:US
Mailing Address - Phone:785-760-2426
Mailing Address - Fax:
Practice Address - Street 1:1501 SW WANAMAKER RD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-3803
Practice Address - Country:US
Practice Address - Phone:785-271-5673
Practice Address - Fax:785-271-1967
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-13412183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist