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
- City
- White Bear Lake
- State
- Minnesota
- 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 Pharmacy — Community/Retail Pharmacy |
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
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| Walgreen Co Part of Walgreens Boots Alliance INC | |
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| Liebe Drug, Inc. |
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