| NPI | 1124684634 |
|---|---|
| Doing Business As | COBORN'S CENTRAL SUPPORT PHARMACY #9942 |
| Entity Type | Organization |
| Authorized Contact | CHAD NELLIS Director Of Pharmacy 320-534-2743 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2022-08-03 |