Grand St Paul Cvs LLC

NPI #1770770828 in Farmington, Minnesota

Provider Information

NPI Number
1770770828
Entity Type
Organization
Organization Name
Grand St Paul Cvs LLC
Primary Specialty
Pharmacy
Enumeration Date
Oct 2, 2007
Last Updated
Nov 18, 2010

Practice Location

Address
19605 PILOT KNOB RD.
ZIP Code
55024
Phone
(651) 463-3693

Authorized Official

Name
SUSAN COLBERT
Title
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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