Organization
COBORNS INC
Active
Parent organization
COBORNS INC
Other names
Coborn's LTC Pharmacy #2006
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
1105 2ND AVE NE, LITTLE FALLS, MN 56345-2943
(320) 632-2380
(320) 632-3079
Mailing address
PO BOX 6146, SAINT CLOUD, MN 56302-6146
(320) 251-5505
(320) 203-1095
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
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
Enumeration date
04/05/2017
Last updated
12/08/2025
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