Grand St Paul Cvs LLC

NPI #1124040803 in Woodbury, Minnesota

Provider Information

NPI Number
1124040803
Entity Type
Organization
Organization Name
Grand St Paul Cvs LLC
Primary Specialty
Pharmacy
Enumeration Date
Jul 24, 2006
Last Updated
Nov 21, 2016

Practice Location

Address
7200 VALLEY CREEK PLZ
ZIP Code
55125-2265
Phone
(651) 735-9517

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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