Healthcare Provider Details

I. General information

NPI: 1982968640
Provider Name (Legal Business Name): COBORNS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2012
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1106 8TH ST SW
PIPESTONE MN
56164-1078
US

IV. Provider business mailing address

PO BOX 6146 PO BOX 6146
SAINT CLOUD MN
56302-6146
US

V. Phone/Fax

Practice location:
  • Phone: 507-825-0091
  • Fax: 855-297-5312
Mailing address:
  • Phone: 320-251-5505
  • Fax: 320-203-1095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number263895
License Number StateMN

VIII. Authorized Official

Name: REBECCA PICKLER
Title or Position: DIRECTOR OF PHARMACY
Credential: PHARMD
Phone: 320-251-5505