Organization · Type 2 NPI

Grand ST Paul CVS LLC

Pharmacy · Coon Rapids, MN

NPI number 1679596969 Active

Practice location

3300 124th Ave NW
Coon Rapids, MN 55433-3805

Call (763) 323-8402 Map

Fax (763) 354-1626

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	None listed
Community/Retail Pharmacy	3336C0003X	162319 (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…

4 other providers at this address

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About NPI 1679596969

Grand ST Paul CVS LLC's National Provider Identifier is 1679596969, issued on Jul 26, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Coon Rapids, MN. The record was last updated on Nov 15, 2016.