Organization · Type 2 NPI

Grand ST Paul CVS LLC

Pharmacy · Minnetonka, MN

NPI number 1144242827 Active

Practice location

13201 Ridgedale Dr
Minnetonka, MN 55305-1809

Call (952) 542-8266 Map

Fax (952) 356-3941

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	598619 (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…

12 other providers at this address

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NPI record

NPI: 1144242827
Entity type: Organization (Type 2)
Issued: Jul 24, 2006
Last updated: Jan 19, 2023
Status: Active

Other names

<unavail>
CVS Pharmacy #16027 · doing business as
CVS Pharmacy #16027 · doing business as

Authorized official

Susan Colbert
Sr. 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 1144242827

Grand ST Paul CVS LLC's National Provider Identifier is 1144242827, issued on Jul 24, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Minnetonka, MN. The record was last updated on Jan 19, 2023.