NPI: 1578187456 · OTSEGO, MN 55330 · Durable Medical Equipment & Medical Supplies · NPI assigned 06/05/2020
| Authorized Official | NELLIS, CHAD (DIRECTOR OF PHARMACY) |
| Parent Organization | COBORNS INC |
| NPI Enumeration Date | 06/05/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 37 | $0.00 |
| 2022 | 13 | $24.95 |