Grand St Paul Cvs LLC

NPI #1972602274 in White Bear Lake, Minnesota

Provider Information

NPI Number
1972602274
Entity Type
Organization
Organization Name
Grand St Paul Cvs LLC
Primary Specialty
Pharmacy
Enumeration Date
Sep 22, 2006
Last Updated
Mar 7, 2012

Practice Location

Address
4800 HIGHWAY 61 N
ZIP Code
55110-2844
Phone
(651) 762-3864

Authorized Official

Name
SUSAN COLBERT
Title
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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