Grand St. Paul Cvs LLC
NPI #1497042899 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1497042899
- Entity Type
- Organization
- Organization Name
- Grand St. Paul Cvs LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Jul 6, 2011
- Last Updated
- Mar 7, 2012
Practice Location
- Address
- 8936 LYNDALE AVE S
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55420-2742
- Phone
- (401) 765-1500
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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