| NPI | 1831261502 |
|---|---|
| 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 | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 261446) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-21 |