Grand St Paul Cvs LLC

NPI #1902828676 in North St Paul, Minnesota

Provider Information

NPI Number
1902828676
Entity Type
Organization
Organization Name
Grand St Paul Cvs LLC
Primary Specialty
Pharmacy
Enumeration Date
Jul 24, 2006
Last Updated
Jan 19, 2023

Practice Location

Address
2199 HIGHWAY 36 E
ZIP Code
55109-2215
Phone
(651) 779-6341

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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