Grand St Paul Cvs LLC

NPI #1790708089 in Chaska, Minnesota

Provider Information

NPI Number
1790708089
Entity Type
Organization
Organization Name
Grand St Paul Cvs LLC
Primary Specialty
Pharmacy
Enumeration Date
Jul 26, 2006
Last Updated
Nov 15, 2016

Practice Location

Address
111 PIONEER TRL
City
Chaska
ZIP Code
55318-1121
Phone
(952) 361-3766

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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