Grand St Paul Cvs LLC
NPI #1427157395 in Robbinsdale, Minnesota
Provider Information
- NPI Number
- 1427157395
- Entity Type
- Organization
- Organization Name
- Grand St Paul Cvs LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Sep 21, 2006
- Last Updated
- Nov 18, 2010
Practice Location
- Address
- 4152 LAKELAND AVE. NORTH
- City
- Robbinsdale
- State
- Minnesota
- ZIP Code
- 55422
- Phone
- (763) 535-2459
Authorized Official
- Name
- SUSAN 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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