Organization · Type 2 NPI
Grand ST Paul CVS LLC
Pharmacy · Otsego, MN
Practice location
15800 87th St NE
Otsego, MN 55330-6546
Fax (763) 252-1326
Mailing address
1 Cvs Dr, Mail Code 1090
Woonsocket, RI 02895-6146
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
| Pharmacy Primary | 333600000X | None listed |
| Community/Retail Pharmacy | 3336C0003X | 263238 (MN) |
Pharmacy: 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 lo…
10 other providers at this address
- Target Corporation and SubsidiariesCommunity/Retail Pharmacy Otsego, MN NPI 1225286123
- Blia Vue, FNP-CNurse Practitioner Otsego, MN NPI 1184433682
- Bridgette Olutosin Teniola, PharmDPharmacist Otsego, MN NPI 1376131771
- Dave Alan Hewitt, RPHPharmacist Otsego, MN NPI 1508152679
- Karl Daniel Voltzke, RPHPharmacist Otsego, MN NPI 1346537552
- Kevin Olson, PharmDPharmacist Otsego, MN NPI 1407144074
- Laine Holcomb, PharmDPharmacist Otsego, MN NPI 1053946251
- Mara PlifkaPharmacist Otsego, MN NPI 1720614969
- Morgan Brummit, APRNFamily Nurse Practitioner Otsego, MN NPI 1053104380
- Zachary Ryan Borgen, PharmD, MS, RPHPharmacist Otsego, MN NPI 1063016939
About NPI 1023030707
Grand ST Paul CVS LLC's National Provider Identifier is 1023030707, issued on Jul 24, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Otsego, MN. The record was last updated on Nov 21, 2016.