Grand St Paul Cvs LLC

NPI #1245339548 in Blaine, Minnesota

Provider Information

NPI Number
1245339548
Entity Type
Organization
Organization Name
Grand St Paul Cvs LLC
Primary Specialty
Pharmacy
Enumeration Date
Sep 22, 2006
Last Updated
Nov 19, 2010

Practice Location

Address
2357 108TH LN NE
City
Blaine
ZIP Code
55449-5222
Phone
(763) 780-0776

Authorized Official

Name
SUSAN COLBERT
Title
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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