Coborn's Pharmacy #2047

Prosthetic & Orthotic Supplier Center | Prosthetic & Orthotic Supplier


  
15700 88th St Ne, Otsego
Minnesota, 55330

 320-251-5505   Maps & Directions
Coborn's Pharmacy #2047 is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Otsego, Minnesota. This organization is also known as sub part of Coborns Inc. It is situated at 15700 88th St Ne, Otsego and its contact number is 320-251-5505. The authorized person of Coborn's Pharmacy #2047 is Chad A Nellis who is Director Of Pharmacy of the store and his/her contact number is 320-251-5505.
Coborn's Pharmacy #2047 is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.


Complete Center Profile:
Coborn's Pharmacy #2047 Center speciality, address, contact phone number and fax are as below. Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
Specialization: Prosthetic & Orthotic Supplier, Prosthetic & Orthotic Supplier
Address:15700 88th St Ne, Otsego,
Minnesota, 55330
Phone:320-251-5505
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name: Chad A Nellis
Position: Director Of Pharmacy
Contact Number: 320-251-5505
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details for Coborn's Pharmacy #2047 center are as mentioned below.
NPI Number: 1578187456
Parent Organization: Coborns Inc
NPI Enumeration Date: 05 Jun, 2020
NPI Last Update On: 01 Apr, 2021

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Coborn's Pharmacy #2047 are as mentioned below.
SpecializationLicense NumberStateStatus
Primary
Secondary
Secondary
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1578187456MedicaidMinnesota
266193OtherMinnesotaState License
2434897OtherNcpdp
FC9746908OtherDea
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Coborn's Pharmacy #2047
Po Box 6146,
Saint Cloud, Minnesota
Zip: 56302-6146
Phone Number: 320-534-2745
Fax Number: 320-203-1095
Patients can reach Coborn's Pharmacy #2047 at 15700 88th St Ne, Otsego, Minnesota or can call to book an appointment on 320-251-5505. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.

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