Grand St Paul Cvs LLC
NPI #1174065007 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1174065007
- Entity Type
- Organization
- Organization Name
- Grand St Paul Cvs LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Nov 9, 2016
- Last Updated
- Apr 4, 2017
Practice Location
- Address
- 30 FAIRVIEW AVE S
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55105-1463
- Phone
- (651) 699-6008
Authorized Official
- Name
- SUSAN COLBERT
- Title
- SR. DIRECTOR
- Phone
- (401) 765-1500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy |
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