Grand St Paul Cvs LLC

NPI #1316327042 in Albany, Minnesota

Provider Information

NPI Number: 1316327042
Entity Type: Organization
Organization Name: Grand St Paul Cvs LLC
Primary Specialty: Pharmacy
Enumeration Date: Jun 8, 2015
Last Updated: Oct 7, 2015

Practice Location

Address: 740 RAILROAD AVE
City: Albany
State: Minnesota
ZIP Code: 56307-9456
Phone: (320) 845-7540

Authorized Official

Name: SUSAN COLBERT
Title: DIRECTOR PAYER RELATIONS
Phone: (401) 765-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy	333600000X	Primary

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