Coborn'S Pharmacy #2031

LBN: Coborns Inc
Coborn'S Pharmacy #2031 is an health care organization with primary practice located at 711 Rose Dr , Big Lake MN 55309-8855. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, 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) 263-7030, or through Young, Lynn R via phone (320) 534-2743.

Contact Information

Primary practice address
711 Rose Dr Big Lake MN 55309-8855
Phone: (763) 263-7030
Fax: (763) 263-8923
Website:
Map and Directions
Authorized official contact:
Name: Young, Lynn R RPH
Phone: (320) 534-2743

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 262331 Minnesota
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1386717924
LBN Legal business name Coborns Inc
DBA Doing business as Coborn'S Pharmacy #2031
Authorized official Young, Lynn R RPH
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 15th, 2006
Last updated Aug 21st, 2020 - about 5 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 1386717924 NPPES
Other 2048450 PK
MEDICAID 1386717924 PK

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