| NPI | 1154622991 |
|---|---|
| Doing Business As | COBORN'S PHARMACY #2042 |
| Entity Type | Organization |
| Authorized Contact | LYNN R YOUNG Director Of Pharmacy 320-534-2743 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054016420) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 263605) | |
| 333600000X Pharmacy (Licence: ND Phar1184) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: WI 1017-43) | |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2020-08-21 |