Organization · Type 2 NPI

Grand ST Paul CVS LLC

Pharmacy · Rogers, MN

NPI number 1558566166 Active

Practice location

21455 John Milless Drive
Rogers, MN 55374

Mailing address

1 Cvs Dr, Box 1075 - Pharmacy Enrollments
Woonsocket, RI 02895-6146

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Pharmacy Primary 333600000XNone listed
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 1558566166

Grand ST Paul CVS LLC's National Provider Identifier is 1558566166, issued on Jun 15, 2007. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Rogers, MN. The record was last updated on Oct 25, 2011.