Coborn'S Pharmacy #2031
LBN: Coborns Inc
Coborn'S Pharmacy #2031 is an health care organization with primary practice located at 711 Rose Dr , Big Lake MN 55309-8855. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Coborns Inc can be contacted via phone (763) 263-7030, or through Young, Lynn R via phone (320) 534-2743.
Contact Information
Primary practice address
711 Rose Dr
Big Lake MN 55309-8855
Phone: (763) 263-7030
Fax: (763) 263-8923
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | 262331 | Minnesota |
Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
NPI number | 1386717924 |
---|---|
LBN Legal business name | Coborns Inc |
DBA Doing business as | Coborn'S Pharmacy #2031 |
Authorized official | Young, Lynn R RPH |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Nov 15th, 2006 |
Last updated | Aug 21st, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386717924 | NPPES |
Other | 2048450 | PK | |
MEDICAID | 1386717924 | PK |
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