Grand St Paul Cvs LLC

NPI #1558383224 in Crystal, Minnesota

Provider Information

NPI Number
1558383224
Entity Type
Organization
Organization Name
Grand St Paul Cvs LLC
Primary Specialty
Pharmacy
Enumeration Date
Jul 24, 2006
Last Updated
Jan 19, 2023

Practice Location

Address
5537 W BROADWAY AVE
ZIP Code
55428-3507
Phone
(763) 533-1651

Authorized Official

Name
SUSAN COLBERT
Title
SR. DIRECTOR, PAYER RELATIONS
Phone
(401) 770-2751

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Pharmacy

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