Cvs Pharmacy # 05788

LBN: Grand St. Paul Cvs Llc
Cvs Pharmacy # 05788 is an health care organization with primary practice located at 6905 York Ave. S. , Edina MN 55435. 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 (952) 920-0126, or through Colbert, Susan F. via phone (401) 765-1500.

Contact Information

Primary practice address
6905 York Ave. S. Edina MN 55435
Phone: (952) 920-0126
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan F.
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 1356639124
LBN Legal business name Grand St. Paul Cvs Llc
DBA Doing business as Cvs Pharmacy # 05788
Authorized official Colbert, Susan F.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2011
Last updated Dec 30th, 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 1356639124 NPPES
Minnesota Other 2430988 NCPDP
Minnesota MEDICAID 1356639124 NCPDP

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