Cvs Pharmacy # 07172

LBN: Grand St Paul Cvs Llc
Cvs Pharmacy # 07172 is an health care organization with primary practice located at 2001 Nicollet Avenue , Minneapolis MN 55404. 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 Llc can be contacted via phone (612) 872-2656, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
2001 Nicollet Avenue Minneapolis MN 55404
Phone: (612) 872-2656
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 770-2751

Health care specialties

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

Profile Details

NPI number 1043497993
LBN Legal business name Grand St Paul Cvs Llc
DBA Doing business as Cvs Pharmacy # 07172
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2008
Last updated Jan 18th, 2023 - about last year

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 1043497993 NPPES
Minnesota MEDICAID 036695000
Minnesota Other 2428717

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