Grand St Paul Cvs LLC

NPI #1043310485 in Eagan, Minnesota

Provider Information

NPI Number
1043310485
Entity Type
Organization
Organization Name
Grand St Paul Cvs LLC
Primary Specialty
Pharmacy
Enumeration Date
Sep 25, 2006
Last Updated
Jun 22, 2022

Practice Location

Address
4241 JOHNNY CAKE RIDGE RD
City
Eagan
ZIP Code
55122-2235
Phone
(651) 688-7041

Authorized Official

Name
SUSAN 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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