Coborn'S Pharmacy #2046

LBN: Coborns Inc
Coborn'S Pharmacy #2046 is an health care organization with primary practice located at 209 6Th Ave Ne , Isanti MN 55040-3220. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Coborns Inc can be contacted via phone (844) 905-0005, or through Young, Lynn R via phone (320) 534-2743.

Contact Information

Primary practice address
209 6Th Ave Ne Isanti MN 55040-3220
Phone: (844) 905-0005
Fax: (855) 302-4731
Website:
Map and Directions
Authorized official contact:
Name: Young, Lynn R RPH
Phone: (320) 534-2743

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 265103 Minnesota
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1144676370
LBN Legal business name Coborns Inc
DBA Doing business as Coborn'S Pharmacy #2046
Authorized official Young, Lynn R RPH
Entity Organization
Organization subpart 1 Yes
Enumeration date May 6th, 2016
Last updated Mar 7th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1144676370 NPPES
Other 2159714 PK
Other 2433150 PK
Other 1144676370 PK
MEDICAID 1144676370 PK

Popular Providers