Grand St Paul Cvs LLC

NPI #1699079483 in Woodbury, Minnesota

Provider Information

NPI Number
1699079483
Entity Type
Organization
Organization Name
Grand St Paul Cvs LLC
Primary Specialty
Pharmacy
Enumeration Date
Jan 7, 2011
Last Updated
Nov 21, 2016

Practice Location

Address
449 COMMERCE DR
ZIP Code
55125-4872
Phone
(651) 239-1875

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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