NPI 1194101766

Coborns INC

Organisation Health Maintenance Organization Mora, MN

Practice location

Address: 710 Frankie Ln, Mora, MN 55051-1914
Phone: (320) 679-2363
Fax: (320) 679-1620
Mailing address: PO Box 6146, Saint Cloud, MN 56302-6146

Authorised official

Name: Lynn R Young
Title: Director of Pharmacy
Phone: (320) 534-2743

Registered specialties (2)

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 119447 (MN)

Other Health Maintenance Organization providers in Minnesota →

Community/Retail Pharmacy

Suppliers Taxonomy 3336C0003X

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Registry record

NPI: 1194101766
Entity type: Organization
NPI issued: 6 Aug 2015
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.