Grand St Paul Cvs LLC

NPI #1619147923 in Lakeville, Minnesota

Provider Information

NPI Number
1619147923
Entity Type
Organization
Organization Name
Grand St Paul Cvs LLC
Primary Specialty
Pharmacy
Enumeration Date
Mar 4, 2008
Last Updated
Nov 19, 2010

Practice Location

Address
17665 KENWOOD TRL
ZIP Code
55044-9455
Phone
(952) 435-3784

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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