Organization · Type 2 NPI

Grand ST Paul CVS LLC

Pharmacy · Eagan, MN

NPI number 1043310485 Active

Practice location

4241 Johnny Cake Ridge Rd
Eagan, MN 55122-2235

Call (651) 688-7041 Map

Mailing address

1 Cvs Dr, PO Box 1075
Woonsocket, RI 02895-6146

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	262487-9 (MN)
Community/Retail Pharmacy	3336C0003X	None listed

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…

17 other providers at this address

Other pharmacy providers in Eagan

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NPI record

NPI: 1043310485
Entity type: Organization (Type 2)
Issued: Sep 25, 2006
Last updated: Jun 22, 2022
Status: Active

Other names

<unavail>
CVS Pharmacy #06715 · doing business as
CVS Pharmacy #06715 · doing business as

Authorized official

Susan Colbert
Director, Payer Relations
(401) 770-2751

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043310485

Grand ST Paul CVS LLC's National Provider Identifier is 1043310485, issued on Sep 25, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Eagan, MN. The record was last updated on Jun 22, 2022.