Organization · Type 2 NPI

Grand ST Paul CVS LLC

Pharmacy · Forest Lake, MN

NPI number 1780606475 Active

Practice location

356 12th St SW
Forest Lake, MN 55025-1749

Call (651) 464-1994 Map

Fax (651) 234-3181

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 3336C0003X62395 (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 1780606475

Grand ST Paul CVS LLC's National Provider Identifier is 1780606475, issued on Jul 24, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Forest Lake, MN. The record was last updated on Nov 15, 2016.