Grand St Paul Cvs LLC

NPI #1609975911 in Woodbury, Minnesota

Provider Information

NPI Number
1609975911
Entity Type
Organization
Organization Name
Grand St Paul Cvs LLC
Primary Specialty
Pharmacy
Enumeration Date
Sep 22, 2006
Last Updated
Nov 18, 2010

Practice Location

Address
2150 EAGLE CREEK LN
ZIP Code
55129-3201
Phone
(651) 436-4732

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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