Grand St Paul Cvs LLC

NPI #1225050909 in Eagan, Minnesota

Provider Information

NPI Number
1225050909
Entity Type
Organization
Organization Name
Grand St Paul Cvs LLC
Primary Specialty
Pharmacy
Enumeration Date
Jul 24, 2006
Last Updated
Nov 14, 2016

Practice Location

Address
2000 CLIFF LAKE RD
City
Eagan
ZIP Code
55122-2400
Phone
(651) 688-8947

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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