Grand St Paul Cvs LLC
NPI #1508051582 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1508051582
- Entity Type
- Organization
- Organization Name
- Grand St Paul Cvs LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Sep 12, 2007
- Last Updated
- Nov 18, 2010
Practice Location
- Address
- 2730 COUNTY ROAD EAST
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110
- Phone
- (651) 777-6816
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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