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Contact Information

COBORNS INC
10514 MAIN ST
HAYWARD, WI54843-6720
 Phone: 715-634-1817
 Fax: 855-304-4787
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for COBORNS INC

NPI # 1003260969
LBN Legal business name COBORNS INC
Authorized official CHAD NELLIS - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/18/2016
Last updated 07/23/2025 - About 11 months ago
Identifiers
WI License # 9403-42
WI Medicaid 1000056023
Other 2159610 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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