Grand St Paul Cvs Llc, NPI 1619147923
Pharmacy in Lakeville, MN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1619147923
NPI Entity Type Organization
Provider Name Grand St Paul Cvs Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 17665 Kenwood Trl, Lakeville, MN, US
Provider Mailing Address 1 Cvs Dr, Box 1075 - Pharmacy Enrollments, Woonsocket, RI, US, 028956146
Is Sole Proprietor? No
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Organization Official

Official Name Susan Colbert
Official Position DIRECTOR, PAYER RELATIONS
Phone 401-770-2751

Primary Taxonomy

Taxonomy Code

333600000X

Taxonomy Name Pharmacy
Classification

Pharmacy

Group

Suppliers

Description A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Other Organization Name

CVS Pharmacy # 05308
Doing Business As

Business Address

Grand St Paul Cvs Llc
17665 Kenwood Trl

Lakeville, MN, US

Phone: 952-435-3784

Mailing Address

Grand St Paul Cvs Llc
1 Cvs Dr
Box 1075 - Pharmacy Enrollments
Woonsocket, RI, US
ZIP 028956146
Phone: 401-765-1500

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

332B00000X

Suppliers

Durable Medical Equipment & Medical Supplies

No

3336C0003X

Suppliers

Pharmacy

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
2428755 MN COMMERCIAL NUMBER 01
344132000 MN MEDICAID 05

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