NPI 1003989641
Coborns INC
Practice location
- Address
- 705 County Road 75 NW, Clearwater, MN 55320-2070
- Phone
- (320) 558-2454
- Fax
- (320) 558-4575
- Mailing address
- PO Box 6146 PO Box 6146, Saint Cloud, MN 56302-6146
Authorised official
- Name
- Lynn R Young
- Title
- Director of Pharmacy
- Phone
- (320) 534-2743
Registered specialties (5)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Parenteral & Enteral Nutrition Supplies (DME)
Pharmacy
Long Term Care Pharmacy
Registry record
- NPI
- 1003989641
- Entity type
- Organization
- NPI issued
- 15 Nov 2006
- Record last updated
- 21 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.