Grand St Paul Cvs LLC

NPI #1679595359 in Buffalo, Minnesota

Provider Information

NPI Number
1679595359
Entity Type
Organization
Organization Name
Grand St Paul Cvs LLC
Primary Specialty
Pharmacy
Enumeration Date
Jul 24, 2006
Last Updated
Nov 15, 2016

Practice Location

Address
1300 STATE HIGHWAY 55 NE
ZIP Code
55313-4321
Phone
(763) 682-5633

Authorized Official

Name
SUSAN COLBERT
Title
SR. 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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