NPI | 1326823766 |
---|---|
Doing Business As | COBORN'S SPECIALTY PHARMACY #1703 |
Entity Type | Organization |
Authorized Contact | CHAD NELLIS Director Of Pharmacy 320-534-2743 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
Enumeration Date | 2023-08-25 |
Last Update Date | 2023-09-20 |