Grand St Paul Cvs LLC

NPI #1013141001 in Woodbury, Minnesota

Provider Information

NPI Number
1013141001
Entity Type
Organization
Organization Name
Grand St Paul Cvs LLC
Primary Specialty
Pharmacy
Enumeration Date
May 6, 2009
Last Updated
Mar 7, 2012

Practice Location

Address
8468 TAMARACK BAY
ZIP Code
55125
Phone
(651) 731-5177

Authorized Official

Name
SUSAN F. COLBERT
Title
DIRECTOR, PAYER RELATIONS
Phone
(401) 770-2751

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Pharmacy

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