Grand St Paul Cvs LLC
NPI #1063512374 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1063512374
- Entity Type
- Organization
- Organization Name
- Grand St Paul Cvs LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Sep 25, 2006
- Last Updated
- Dec 5, 2024
Practice Location
- Address
- 8900 HIGHWAY 7
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55426-3919
- Phone
- (952) 935-8407
Authorized Official
- Name
- SUSAN COLBERT
- Title
- SR. DIRECTOR, PAYER RELATIONS
- Phone
- (401) 770-2751
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy |
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| Grand St Paul Cvs LLC | |
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