Organization · Type 2 NPI
Grand ST Paul CVS LLC
Pharmacy · White Bear Lake, MN
Practice location
4800 Highway 61 N
White Bear Lake, MN 55110-2844
Mailing address
1 Cvs Dr, PO Box 1075
Woonsocket, RI 02895-6146
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
| Pharmacy Primary | 333600000X | 262578-4 (MN) |
| Community/Retail Pharmacy | 3336C0003X | None 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…
Another provider at this address
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About NPI 1972602274
Grand ST Paul CVS LLC's National Provider Identifier is 1972602274, issued on Sep 22, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in White Bear Lake, MN. The record was last updated on Mar 7, 2012.