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GRAND ST PAUL CVS LLC NPI 1962424648


NPI Information

NPI: 1962424648
Provider Name: GRAND ST PAUL CVS LLC

Doing Business As: CVS PHARMACY #17306

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1300 UNIVERSITY AVE W
SAINT PAUL, MN
ZIP 55104
Phone: (651) 646-8002
Get Directions

GRAND ST PAUL CVS LLC is a pharmacy in Saint Paul, MN. The provider is 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 located. GRAND ST PAUL CVS LLC NPI is 1962424648. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #17306.

The provider's business location address is:

1300 UNIVERSITY AVE W
SAINT PAUL, MN
ZIP 55104-103
Phone: (651) 646-8002
Fax: (651) 255-4681

The provider's authorized official is Susan Colbert .
The authorized official title is Sr. Director, Payer Relations and has the following contact phone number (401) 770-2751.

The enumeration date for this NPI number is 7/24/2006 and was last updated on 11/15/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail Pharmacy263056MINNESOTANo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10640710117MEDICARE NSC
25603920064MEDICARE NSC
32046073OTHERPK
4734357400MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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