Coborn'S Ltc Pharmacy #2006

LBN: Coborns Inc
Coborn'S Ltc Pharmacy #2006 is an health care organization with primary practice located at 1105 2Nd Ave Ne , Little Falls MN 56345-2943. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Coborns Inc can be contacted via phone (320) 632-2380, or through Nellis, Chad via phone (320) 534-2743.

Contact Information

Primary practice address
1105 2Nd Ave Ne Little Falls MN 56345-2943
Phone: (320) 632-2380
Fax: (320) 632-3079
Website:
Map and Directions
Authorized official contact:
Name: Nellis, Chad PHARMD
Phone: (320) 534-2743

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1417480633
LBN Legal business name Coborns Inc
DBA Doing business as Coborn'S Ltc Pharmacy #2006
Authorized official Nellis, Chad PHARMD
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 5th, 2017
Last updated Sep 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417480633 NPPES
Other 2434760 NCPDP LTC
Other 261254 NCPDP LTC
Other 1417480633 NCPDP LTC
MEDICAID 1760555304 NCPDP LTC
MEDICAID 1417480633 NCPDP LTC
Other BC4361503 NCPDP LTC

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