Coborn'S Pharmacy #2047

LBN: Coborns Inc
Coborn'S Pharmacy #2047 is an health care organization with primary practice located at 15700 88Th St Ne , Otsego MN 55330. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Coborns Inc can be contacted via phone (763) 328-1701, or through Nellis, Chad A via phone (320) 251-5505.

Contact Information

Primary practice address
15700 88Th St Ne Otsego MN 55330
Phone: (763) 328-1701
Fax: (763) 441-3072
Website:
Map and Directions
Authorized official contact:
Name: Nellis, Chad A PHARMD
Phone: (320) 251-5505

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1578187456
LBN Legal business name Coborns Inc
DBA Doing business as Coborn'S Pharmacy #2047
Authorized official Nellis, Chad A PHARMD
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 5th, 2020
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 1578187456 NPPES
Minnesota MEDICAID 1578187456
Minnesota Other 2434897
Minnesota Other 266193

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