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GRAND ST PAUL CVS LLC NPI 1326392762


NPI Information

NPI: 1326392762
Provider Name: GRAND ST PAUL CVS LLC

Doing Business As: CVS PHARMACY #17626

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1000 NICOLLET MALL # 0272
MINNEAPOLIS, MN
ZIP 55403
Phone: (612) 354-5914
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GRAND ST PAUL CVS LLC is a pharmacy in Minneapolis, 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 1326392762. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #17626.

The provider's business location address is:

1000 NICOLLET MALL # 0272
MINNEAPOLIS, MN
ZIP 55403-542
Phone: (612) 354-5914

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 11/7/2012 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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail Pharmacy264011MINNESOTANo
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
10640711693MEDICARE NSC
25603920133MEDICARE NSC
31326392762MEDICAIDMINNESOTA
42137639OTHERPK

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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