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Contact Information

COBORNS INC
15700 88TH ST NE
OTSEGO, MN55330
 Phone: 763-328-1701
 Fax: 763-441-3072
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 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
 

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for COBORNS INC

NPI # 1578187456
LBN Legal business name COBORNS INC
Authorized official CHAD NELLIS - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/05/2020
Last updated 09/20/2023 - About 3 years ago
Identifiers
MN Medicaid 1578187456
Other 2434897 NCPDP
MN Other 266193 STATE LICENSE
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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