Coborn'S Clinic Pharmacy # 2017

LBN: Coborns Inc
Coborn'S Clinic Pharmacy # 2017 is an health care organization with primary practice located at 710 Frankie Ln , Mora MN 55051-1914. The organization recently has 2 registered licenses in different health care specialties including Managed Care Organizations / Health Maintenance Organization, Suppliers / Community/Retail Pharmacy. Managed Care Organizations / Health Maintenance Organization is the primary health care specialty. Coborns Inc can be contacted via phone (320) 679-2363, or through Young, Lynn R via phone (320) 534-2743.

Contact Information

Primary practice address
710 Frankie Ln Mora MN 55051-1914
Phone: (320) 679-2363
Fax: (320) 679-1620
Website:
Map and Directions
Authorized official contact:
Name: Young, Lynn R RPH
Phone: (320) 534-2743

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 119447 Minnesota
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1194101766
LBN Legal business name Coborns Inc
DBA Doing business as Coborn'S Clinic Pharmacy # 2017
Authorized official Young, Lynn R RPH
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 6th, 2015
Last updated Aug 21st, 2020 - about 6 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 1194101766 NPPES
Minnesota MEDICAID 1831261502
Minnesota Other 2406987

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