Grand St Paul Cvs LLC

NPI #1558566166 in Rogers, Minnesota

Provider Information

NPI Number
1558566166
Entity Type
Organization
Organization Name
Grand St Paul Cvs LLC
Primary Specialty
Pharmacy
Enumeration Date
Jun 15, 2007
Last Updated
Oct 25, 2011

Practice Location

Address
21455 JOHN MILLESS DRIVE
City
Rogers
ZIP Code
55374
Phone
(763) 428-2629

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 PharmacyCommunity/Retail Pharmacy
Pharmacy

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