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Contact Information

COBORNS INC
2211 11TH ST E
GLENCOE, MN55336-2629
 Phone: 320-864-5192
 Fax: 320-864-2767
 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
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for COBORNS INC

NPI Number 1881632123
LBN Legal business name COBORNS INC
Authorized official JIM COX - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 06/02/2006
Last updated 08/21/2020 - About 6 years ago
Identifiers
MN License # 262764
MN Medicaid 1881632123
Other 2049092 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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