Organization · Type 2 NPI

Grand ST Paul CVS LLC

Pharmacy · Fridley, MN

NPI number 1972603280 Active

Practice location

755 53rd Ave NE
Fridley, MN 55421-1240

Call (763) 571-9766 Map

Fax (763) 852-0086

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 3336C0003X262879 (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 1972603280

Grand ST Paul CVS LLC's National Provider Identifier is 1972603280, issued on Sep 25, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Fridley, MN. The record was last updated on Nov 21, 2016.