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COBORNS INC NPI 1831261502


NPI Information

NPI: 1831261502
Provider Name: COBORNS INC

Doing Business As: COBORN'S PHARMACY #2017

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
710 FRANKIE LN
MORA, MN
ZIP 55051
Phone: (320) 679-2363
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COBORNS INC is a community/retail pharmacy pharmacy in Mora, 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 1831261502. The provider is registered as an organization entity type.
The provider Is Doing Business As Coborn's Pharmacy #2017.

The provider's business location address is:

710 FRANKIE LN
MORA, MN
ZIP 55051-914
Phone: (320) 679-2363
Fax: (320) 679-1620

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 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care PharmacyNo
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
3332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
4333600000XPharmacyNo
53336C0003XPharmacyCommunity/Retail Pharmacy261446MINNESOTAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11831261502MEDICAIDMINNESOTA
22044950OTHERPK

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: 5/5/2024

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