National Provider Identifier Database

GRAND ST PAUL CVS LLC
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 located.


Contact Information

GRAND ST PAUL CVS, LLC
2420 DIVISION ST
SAINT CLOUD, MN56301
Phone: 320-253-5366
Fax:
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for GRAND ST PAUL CVS, LLC

NPI Number 1063759546
Legal business name
LBN
GRAND ST PAUL CVS, LLC
Authorized official SUSAN COLBERT - (DIRECTOR, PAYER RELATIONS)
Entity Organization
Organization subpart No
Enumeration date 01/03/2013
Last updated 04/12/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • MN Medicaid: 1063759546
  • MN Other: 2431740 NCPDP

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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