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Contact Information

GRAND ST PAUL CVS PHCY LLC
17578 DOOD BLVD
LAKEVILLE, MN55044
 Phone: 952-432-8770
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GRAND ST PAUL CVS PHCY LLC

NPI Number 1487748760
LBN Legal business name GRAND ST PAUL CVS PHCY LLC
Authorized official CLAUDIA MARINARO - (PHCY ENROLLMENT REP)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
MN License # 262890
Other 2427690 OTHER ID NUMBER-COMMERCIAL NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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