# COBORNS INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COBORNS INC
- **Other names:** COBORN'S PHARMACY SERVICES \#1702, COBORNS PHARMACY SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497279608
- **Legal business name:** COBORNS INC
- **Authorized official:** LYNN R YOUNG RPH (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (320) 534-2743

## Contact information

- **Practice address:** 110 1ST ST S STE B, SAUK RAPIDS, MN 56379-1404
- **Practice address phone:** (877) 251-5543
- **Practice address fax:** (800) 893-4666
- **Mailing address:** PO BOX 6146, SAINT CLOUD, MN 56302-6146
- **Mailing address phone:** (320) 534-2745

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 265384 | MN | Yes |

## Other

- **Enumeration date:** 07/29/2017
- **Last updated:** 08/21/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1797279608 | NPI | — |
| 01 | — | 2433580 | NCPDP | — |
| 01 | — | 265384 | STATE PHARMACY LICENSE | MN |