Grand St. Paul Cvs LLC

NPI #1679949028 in Bemidji, Minnesota

Provider Information

NPI Number
1679949028
Entity Type
Organization
Organization Name
Grand St. Paul Cvs LLC
Primary Specialty
Pharmacy
Enumeration Date
Aug 19, 2015
Last Updated
Dec 17, 2015

Practice Location

Address
2312 BEMIDJI AVE NORTH
ZIP Code
56601
Phone
(218) 751-1626

Authorized Official

Name
SUSAN F COLBERT
Title
SR. DIRECTOR
Phone
(401) 770-2751

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Pharmacy

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