| NPI | 1194101766 |
|---|---|
| Doing Business As | COBORN'S CLINIC PHARMACY # 2017 |
| Doing Business As | COBORN'S PHARMACY #2017 |
| Entity Type | Organization |
| Authorized Contact | LYNN R YOUNG Director Of Pharmacy 320-534-2743 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MN 119447) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2020-08-21 |