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NPI Code Detail

MEDICARE: COBORNS INC

MEDICARE: COBORNS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336L0003XLong Term Care Pharmacy
2332BC3200XCustomized Equipment (DME)
3332B00000XDurable Medical Equipment & Medical Supplies
4333600000XPharmacy
53336C0003XCommunity/Retail Pharmacy100-1829SD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22094286OTHERPK
31366514036OTHERNPI

General Provider Information

NPI Number : 1366514036
Entity Type Code : Organization
Provider Name (Legal Business Name) : COBORNS INC
Provider Business Mailing Address
First Line : PO BOX 6146
Second Line : PO BOX 6146
City : SAINT CLOUD
State : MN
Zip : 56302-6146
Country : US
Telephone Number : 320-251-5505
Fax Number : 320-203-1095
Provider Business Practice Location Address
First Line : 2150 DAKOTA AVE S
Second Line :
City : HURON
State : SD
Zip : 57350-4311
Country : US
Telephone Number : 605-352-1641
Fax Number : 605-352-9663
Authorized Official
Title or Position : DIRECTOR OF PHARMACY
Name : REBECCA PICKLER
Credential : PHARMD
Telephone Number : 320-251-5505
Provider Enumeration Date : 11/15/2006
Last Update Date : 12/16/2025

Similar Medicare Providers

1821471335 — JON HILTON RPH
Practice Location Address:
2150 DAKOTA AVE S
HURON, SD
57350-4311
Practice Phone: 605-352-1641
Practice Fax: 605-352-9663
1922481308 — ROSHELLE GOERTZ PHARMD
Practice Location Address:
2150 DAKOTA AVE S
HURON, SD
57350-4311
Practice Phone: 605-352-1641
Practice Fax: 605-352-9663
1558745315 — BOBBI J JOHNSON PHARMD
Practice Location Address:
2150 DAKOTA AVE S
HURON, SD
57350-4311
Practice Phone: 605-352-4377
Practice Fax: 605-352-9663
1295738789 — MS. SUSAN KAY OLSON CNP/PAC
Practice Location Address:
455 KANSAS AVE SE
HURON, SD
57350-2522
Practice Phone: 605-352-8767
Practice Fax: 605-352-8784
1841295789 — CHARLES D. HOFFMAN, DDS, PC
Practice Location Address:
53 3RD ST SW
HURON, SD
57350-1907
Practice Phone: 605-352-3070
Practice Fax: 605-352-3411
1366447104 — DR. ROBERT C HOHM M.D.
Practice Location Address:
455 KANSAS AVE SE
HURON, SD
57350-2522
Practice Phone: 605-352-8767
Practice Fax: 605-352-8784

Directions to “COBORNS INC ” Practice Location

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