Grand St Paul Cvs LLC

NPI #1639349954 in Delano, Minnesota

Provider Information

NPI Number
1639349954
Entity Type
Organization
Organization Name
Grand St Paul Cvs LLC
Primary Specialty
Pharmacy
Enumeration Date
Mar 3, 2008
Last Updated
Nov 19, 2010

Practice Location

Address
1314 BABCOCK BLVD E
City
Delano
ZIP Code
55328-2809
Phone
(763) 972-3266

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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