Organization
COBORNS INC
Active
Parent organization
COBORNS INC
Other names
CASH WISE PHARMACY #3009, CASH WISE PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
COBORNS INC
Authorized official
LYNN R YOUNG RPH (DIRECTOR OF PHARMACY)
(320) 534-2743
Entity
Organization
Contact information
Practice address
113 WAITE AVE S, WAITE PARK, MN 56387-1348
(320) 259-1148
(320) 259-1334
Mailing address
PO BOX 6146, PO BOX 6146, SAINT CLOUD, MN 56302-6146
(320) 534-2745
(320) 203-1095
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
260398
MN
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740352418
—
MN
01
—
2046503
PK
—
Enumeration date
11/15/2006
Last updated
08/21/2020
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