Cvs Pharmacy #16646

LBN: Grand St Paul Cvs Llc
Cvs Pharmacy #16646 is an health care organization with primary practice located at 215 Balsam St N Ste 100 , Cambridge MN 55008-5814. 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 (763) 689-3687, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
215 Balsam St N Ste 100 Cambridge MN 55008-5814
Phone: (763) 689-3687
Fax: (763) 237-3417
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 39384 Minnesota

Profile Details

NPI number 1407878192
LBN Legal business name Grand St Paul Cvs Llc
DBA Doing business as Cvs Pharmacy #16646
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2006
Last updated Jan 19th, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407878192 NPPES
Other 2048174 PK
MEDICAID 570035300 PK

Popular Providers