Grand St Paul Cvs LLC

NPI #1689696379 in Red Wing, Minnesota

Provider Information

NPI Number
1689696379
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
151 TYLER RD N
ZIP Code
55066-1865
Phone
(651) 388-2433

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 PharmacyCommunity/Retail Pharmacy
Pharmacy

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