Organization · Type 2 NPI

Grand ST Paul CVS LLC

Pharmacy · North St. Paul, MN

NPI number 1902828676 Active

Practice location

2199 Highway 36 E
North St. Paul, MN 55109-2215

Call (651) 779-6341 Map

Fax (651) 234-4734

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	9014 (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…

9 other providers at this address

NPI record

NPI: 1902828676
Entity type: Organization (Type 2)
Issued: Jul 24, 2006
Last updated: Jan 19, 2023
Status: Active

Other names

<unavail>
CVS Pharmacy #16543 · doing business as
CVS Pharmacy #16543 · doing business as

Authorized official

Susan Colbert
Sr. Director, Payer Relations
(401) 770-2751

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1902828676

Grand ST Paul CVS LLC's National Provider Identifier is 1902828676, issued on Jul 24, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in North St. Paul, MN. The record was last updated on Jan 19, 2023.