Grand St Paul Cvs LLC

NPI #1114949898 in Stillwater, Minnesota

Provider Information

NPI Number
1114949898
Entity Type
Organization
Organization Name
Grand St Paul Cvs LLC
Primary Specialty
Pharmacy
Enumeration Date
Jul 24, 2006
Last Updated
Nov 15, 2016

Practice Location

Address
2021 MARKET DR
ZIP Code
55082-7546
Phone
(651) 439-0992

Authorized Official

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

Specialties & Taxonomy Codes

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

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