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COBORNS INC NPI 1568534238


NPI Information

NPI: 1568534238
Provider Name: COBORNS INC

Doing Business As: COBORNS PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 24D2173466

Address:
900 COOPER AVE S
SAINT CLOUD, MN
ZIP 56301
Phone: (320) 252-1515
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COBORNS INC is a community/retail pharmacy pharmacy in Saint Cloud, MN. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. COBORNS INC NPI is 1568534238. The provider is registered as an organization entity type.
The provider Is Doing Business As Coborns Pharmacy.

The provider's business location address is:

900 COOPER AVE S
SAINT CLOUD, MN
ZIP 56301-267
Phone: (320) 252-1515
Fax: (320) 202-1626

The provider's authorized official is Lynn R Young .
The authorized official title is Director Of Pharmacy and has the following contact phone number (320) 534-2743.

The CLIA number assigned to this NPI record is 24D2173466 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 8/21/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
3333600000XPharmacyNo
43336L0003XPharmacyLong Term Care PharmacyNo
53336C0003XPharmacyCommunity/Retail Pharmacy260986MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12046985OTHERPK
2359860800MEDICAIDMINNESOTA
31568534238MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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