# COBORNS INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COBORNS INC
- **Other names:** Coborn's LTC Pharmacy \#2006
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417480633
- **Legal business name:** COBORNS INC
- **Authorized official:** REBECCA PICKLER PHARMD (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (320) 251-5505

## Contact information

- **Practice address:** 1105 2ND AVE NE, LITTLE FALLS, MN 56345-2943
- **Practice address phone:** (320) 632-2380
- **Practice address fax:** (320) 632-3079
- **Mailing address:** PO BOX 6146, SAINT CLOUD, MN 56302-6146
- **Mailing address phone:** (320) 251-5505
- **Mailing address fax:** (320) 203-1095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/05/2017
- **Last updated:** 12/08/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1417480633 | NPI LTC | — |
| 05 | — | 1417480633 | — | MN |
| 05 | — | 1760555304 | — | MN |
| 01 | — | 2434760 | NCPDP LTC | — |
| 01 | — | 261254 | PHARMACY LICENSE | MN |
| 01 | — | BC4361503 | DEA | MN |