Organization · Type 2 NPI

Grand ST Paul CVS LLC

Pharmacy · Blaine, MN

NPI number 1215959903 Active

Practice location

1500 109th Ave NE
Blaine, MN 55449-4670

Call (763) 354-1001 Map

Fax (763) 354-1001

Mailing address

1 Cvs Dr, Mail Code 1090
Woonsocket, RI 02895-6146

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Pharmacy Primary 333600000XNone listed
Community/Retail Pharmacy 3336C0003X616834 (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…

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About NPI 1215959903

Grand ST Paul CVS LLC's National Provider Identifier is 1215959903, issued on Jul 24, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Blaine, MN. The record was last updated on Nov 21, 2016.