| NPI | 1497279608 |
|---|---|
| Doing Business As | COBORN'S PHARMACY SERVICES #1702 |
| Entity Type | Organization |
| Authorized Contact | LYNN R YOUNG Director Of Pharmacy 320-534-2743 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: MN 265384) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-07-29 |
| Last Update Date | 2020-08-21 |