Cvs Pharmacy # 03054
LBN: Grand St Paul Cvs L L C
Cvs Pharmacy # 03054 is an health care organization with primary practice located at 1175 Madison Ave , Mankato MN 56001-5227. 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 (507) 625-1791, or through Colbert, Susan F. via phone (401) 765-1500.
Contact Information
Primary practice address
1175 Madison Ave
Mankato MN 56001-5227
Phone: (507) 625-1791
Fax: (401) 770-7108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1700180692 |
|---|---|
| LBN Legal business name | Grand St Paul Cvs L L C |
| DBA Doing business as | Cvs Pharmacy # 03054 |
| Authorized official | Colbert, Susan F. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 6th, 2011 |
| Last updated | Apr 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700180692 | NPPES |
| Minnesota | Other | 2430534 | NCPDP |
| Minnesota | MEDICAID | 1700180692 | NCPDP |
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