Cvs Pharmacy # 05920

LBN: Grand St. Paul Cvs, L.L.C.
Cvs Pharmacy # 05920 is an health care organization with primary practice located at 600 Central Ave. E , St. Michael MN 55376-4584. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Grand St. Paul Cvs, L.L.C. can be contacted via phone (763) 497-6632, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
600 Central Ave. E St. Michael MN 55376-4584
Phone: (763) 497-6632
Fax: (401) 770-7108
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 765-1500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1003118696
LBN Legal business name Grand St. Paul Cvs, L.L.C.
DBA Doing business as Cvs Pharmacy # 05920
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2010
Last updated Jul 11th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003118696 NPPES
Minnesota MEDICAID 1003118696
Minnesota Other 2430469

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