Coborn'S Pharmacy #2023
LBN: Coborns Inc
Coborn'S Pharmacy #2023 is an health care organization with primary practice located at 19425 Evans St Sw , Elk River MN 55330. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Customized Equipment, Suppliers / Parenteral & Enteral Nutrition, 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) 441-0804, or through Young, Lynn R via phone (320) 354-2743.
Contact Information
Primary practice address
19425 Evans St Sw
Elk River MN 55330
Phone: (763) 441-0804
Fax: (763) 441-1502
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Customized Equipment | 332BC3200X | ||
Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | ||
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | 261580 | Minnesota |
Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
NPI number | 1851464499 |
---|---|
LBN Legal business name | Coborns Inc |
DBA Doing business as | Coborn'S Pharmacy #2023 |
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 | 1851464499 | NPPES |
Other | 2046269 | PK | |
MEDICAID | 1851464499 | PK |
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