Organization
COBORNS INC
Active
Parent organization
COBORNS INC
Other names
COBORN'S CLINIC PHARMACY # 2017, COBORN'S PHARMACY #2017
Organization subpart
Yes
Provider details
NPI number
Legal business name
COBORNS INC
Authorized official
MS. LYNN R YOUNG RPH (DIRECTOR OF PHARMACY)
(320) 534-2743
Entity
Organization
Contact information
Practice address
710 FRANKIE LN, MORA, MN 55051-1914
(320) 679-2363
(320) 679-1620
Mailing address
PO BOX 6146, SAINT CLOUD, MN 56302-6146
(320) 534-2745
(320) 203-1095
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
119447
MN
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831261502
—
MN
01
—
2406987
NCPDP
—
Enumeration date
08/06/2015
Last updated
08/21/2020
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