Grand St Paul Cvs LLC

NPI #1841212529 in Bemidji, Minnesota

Provider Information

NPI Number
1841212529
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
2100 PAUL BUNYAN DR NW
ZIP Code
56601-5645
Phone
(218) 759-0133

Authorized Official

Name
SUSAN COLBERT
Title
SR. DIRECTOR, PAYER RELATIONS
Phone
(401) 770-2751

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Durable Medical Equipment & Medical Supplies
Pharmacy

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