Grand St Paul Cvs LLC
NPI #1225336894 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1225336894
- Entity Type
- Organization
- Organization Name
- Grand St Paul Cvs LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Mar 7, 2011
- Last Updated
- Jul 12, 2011
Practice Location
- Address
- 4656 EXCELSIOR BLVD
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55416-4938
- Phone
- (952) 929-0140
Authorized Official
- Name
- SUSAN F. COLBERT
- Title
- 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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