| NPI | 1578187456 |
|---|---|
| Doing Business As | COBORN'S PHARMACY #2047 |
| Entity Type | Organization |
| Authorized Contact | CHAD A NELLIS Director Of Pharmacy 320-251-5505 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2023-09-20 |