Organization · Type 2 NPI

Grand ST Paul CVS LLC

Pharmacy · Plymouth, MN

NPI number 1306868088 Active

Practice location

4175 Vinewood Ln N
Plymouth, MN 55442-2624

Call (763) 553-1757 Map

Fax (763) 354-1582

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 3336C0003X437347 (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 1306868088

Grand ST Paul CVS LLC's National Provider Identifier is 1306868088, issued on Jul 24, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Plymouth, MN. The record was last updated on Nov 15, 2016.