Grand St Paul Cvs LLC
NPI #1265663991 in Little Canada, Minnesota
Provider Information
- NPI Number
- 1265663991
- Entity Type
- Organization
- Organization Name
- Grand St Paul Cvs LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Jul 29, 2009
- Last Updated
- Nov 1, 2018
Practice Location
- Address
- 2650 RICE ST
- City
- Little Canada
- State
- Minnesota
- ZIP Code
- 55113-2201
- Phone
- (651) 484-0504
Authorized Official
- Name
- SUSAN F. COLBERT
- Title
- DIRECTOR, PAYER RELATIONS
- Phone
- (401) 770-2751
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy |
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