Organization · Type 2 NPI

Grand ST Paul CVS LLC

Pharmacy · Grand Rapids, MN

NPI number 1396767075 Active

Practice location

2140 S Pokegama Ave
Grand Rapids, MN 55744-2507

Fax (218) 326-6412

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 3336C0003X340283 (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…

2 other providers at this address

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About NPI 1396767075

Grand ST Paul CVS LLC's National Provider Identifier is 1396767075, issued on Jul 24, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Grand Rapids, MN. The record was last updated on Nov 15, 2016.