Organization · Type 2 NPI

Grand ST Paul CVS LLC

Pharmacy · Minneapolis, MN

NPI number 1154420453 Active

Practice location

3655 Central Ave NE
Minneapolis, MN 55418-1342

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Pharmacy Primary 333600000X262507-2 (MN)
Community/Retail Pharmacy 3336C0003XNone 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…

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About NPI 1154420453

Grand ST Paul CVS LLC's National Provider Identifier is 1154420453, issued on Sep 22, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Minneapolis, MN. The record was last updated on Nov 19, 2010.