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Organization
COBORNS INC
Active
Organization
COBORNS INC
Active
Other names
Kessler Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD NELLIS PHARM D (SENIOR DIRECTOR OF PHARMACY)
(320) 534-2743
Entity
Organization
Contact information
Practice address
621 6TH AVE SE, ABERDEEN, SD 57401-4538
(605) 225-6673
(605) 225-1612
Mailing address
1921 COBORN BLVD, SAINT CLOUD, MN 56301-2100
(320) 534-2744
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100-2100
SOUTH DAKOTA STATE LICENSE
SD
Enumeration date
04/24/2025
Last updated
07/31/2025
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