Grand St Paul Cvs LLC

NPI #1770505463 in Willmar, Minnesota

Provider Information

NPI Number
1770505463
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
2505 1ST ST S
ZIP Code
56201-4215
Phone
(320) 235-3026

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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