Grand St Paul Cvs LLC

NPI #1427157726 in Andover, Minnesota

Provider Information

NPI Number
1427157726
Entity Type
Organization
Organization Name
Grand St Paul Cvs LLC
Primary Specialty
Pharmacy
Enumeration Date
Sep 22, 2006
Last Updated
Mar 7, 2012

Practice Location

Address
3633 BUNKER LAKE BLVD NW
ZIP Code
55304-7402
Phone
(763) 421-5011

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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