Grand St. Paul Cvs, Llc.
NPI #1841549557 in Burnsville, Minnesota
Provider Information
- NPI Number
- 1841549557
- Entity Type
- Organization
- Organization Name
- Grand St. Paul Cvs, Llc.
- Primary Specialty
- Pharmacy
- Enumeration Date
- Sep 10, 2012
- Last Updated
- Apr 12, 2013
Practice Location
- Address
- 12751 NICOLLET AVE
- City
- Burnsville
- State
- Minnesota
- ZIP Code
- 55337-2890
- Phone
- (952) 736-8130
Authorized Official
- Name
- SUSAN F. COLBERT
- Title
- DIRECTOR, PAYER RELATIONS
- Phone
- (401) 765-1500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy |
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