Grand St Paul Cvs LLC
NPI #1356619415 in Detroit Lakes, Minnesota
Provider Information
- NPI Number
- 1356619415
- Entity Type
- Organization
- Organization Name
- Grand St Paul Cvs LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Dec 5, 2011
- Last Updated
- Jan 17, 2023
Practice Location
- Address
- 329 FRAZEE ST E
- City
- Detroit Lakes
- State
- Minnesota
- ZIP Code
- 56501-3603
- Phone
- (218) 847-1484
Authorized Official
- Name
- SUSAN COLBERT
- Title
- DIRECTOR, PAYER RELATIONS
- 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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