Coborn'S Central Support Pharmacy #9942

LBN: Coborns Inc
Coborn'S Central Support Pharmacy #9942 is an health care organization with primary practice located at 110 1St St S Ste C , Sauk Rapids MN 56379-1404. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Coborns Inc can be contacted via phone (320) 202-8343, or through Nellis, Chad via phone (320) 534-2743.

Contact Information

Primary practice address
110 1St St S Ste C Sauk Rapids MN 56379-1404
Fax: (320) 202-8341
Website:
Authorized official contact:
Name: Nellis, Chad PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1124684634
LBN Legal business name Coborns Inc
DBA Doing business as Coborn'S Central Support Pharmacy #9942
Authorized official Nellis, Chad PHARMD
Entity Organization
Organization subpart 1 Yes
Enumeration date May 10th, 2019
Last updated Aug 3rd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124684634 NPPES
Other 2434532 NCPDP
Other 1124684634 NCPDP

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