Coborns Pharmacy #2006
LBN: Coborns Inc
Coborns 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 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, 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 (800) 933-9431, or through Nellis, Chad via phone (320) 534-2743.
Contact Information
Primary practice address
1105 2Nd Ave Ne
Little Falls MN 56345-2943
Phone: (800) 933-9431
Fax: (855) 457-2245
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 261254 | Minnesota |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1760555304 |
|---|---|
| LBN Legal business name | Coborns Inc |
| DBA Doing business as | Coborns Pharmacy #2006 |
| Authorized official | Nellis, Chad PHARMD |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Mar 5th, 2024 - about 6 months 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 | 1760555304 | NPPES |
| Minnesota | MEDICAID | 1760555304 | |
| Minnesota | Other | 2434760 | |
| Minnesota | Other | 2047375 | |
| Minnesota | Other | 2421559 | |
| Minnesota | Other | 1417480633 |
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