Cvs Pharmacy # 04573

LBN: Grand St Paul Cvs Llc
Cvs Pharmacy # 04573 is an health care organization with primary practice located at 2650 Rice St , Little Canada MN 55113-2201. 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 (651) 484-0504, or through Colbert, Susan F. via phone (401) 770-2751.

Contact Information

Primary practice address
2650 Rice St Little Canada MN 55113-2201
Phone: (651) 484-0504
Fax: (401) 770-7108
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan F.
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 1265663991
LBN Legal business name Grand St Paul Cvs Llc
DBA Doing business as Cvs Pharmacy # 04573
Authorized official Colbert, Susan F.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2009
Last updated Nov 1st, 2018 - about 6 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 1265663991 NPPES
Minnesota Other 2429795 NCPDP
Minnesota MEDICAID 1265663991 NCPDP

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