Grand St Paul Cvs LLC
NPI #1639191307 in Burnsville, Minnesota
Provider Information
- NPI Number
- 1639191307
- Entity Type
- Organization
- Organization Name
- Grand St Paul Cvs LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Jul 24, 2006
- Last Updated
- Feb 1, 2021
Practice Location
- Address
- 810 COUNTY ROAD 42 W
- City
- Burnsville
- State
- Minnesota
- ZIP Code
- 55337-4426
- Phone
- (952) 236-3004
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 Pharmacy — Community/Retail Pharmacy |
| Pharmacy |
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