Organization
COBORNS INC
Active
Parent organization
COBORNS INC
Other names
Coborn's Pharmacy #2046
Organization subpart
Yes
Provider details
NPI number
Legal business name
COBORNS INC
Authorized official
REBECCA PICKLER PHARMD (DIRECTOR OF PHARMACY)
(320) 251-5505
Entity
Organization
Contact information
Practice address
209 6TH AVE NE, ISANTI, MN 55040-3220
(844) 905-0005
(855) 302-4731
Mailing address
1921 COBORN BLVD, SAINT CLOUD, MN 56301-2100
(320) 251-5505
(320) 203-1095
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
265103
MN
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144676370
NPI
—
05
—
1144676370
—
MN
01
—
2159714
PK
—
01
—
2433150
NCPCP
—
Enumeration date
05/06/2016
Last updated
12/08/2025
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