Coborn'S Pharmacy #2027

LBN: Coborns Inc
Coborn'S Pharmacy #2027 is an health care organization with primary practice located at 2211 11Th St E , Glencoe MN 55336-2629. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, 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 (320) 864-5192, or through Cox, Jim via phone (320) 251-5505.

Contact Information

Primary practice address
2211 11Th St E Glencoe MN 55336-2629
Phone: (320) 864-5192
Fax: (320) 864-2767
Website:
Map and Directions
Authorized official contact:
Name: Cox, Jim RPH
Phone: (320) 251-5505

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 262764 Minnesota
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1881632123
LBN Legal business name Coborns Inc
DBA Doing business as Coborn'S Pharmacy #2027
Authorized official Cox, Jim RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881632123 NPPES
Other 2049092 PK
MEDICAID 1881632123 PK

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