Cvs Pharmacy #16186

LBN: Grand St Paul Cvs Llc
Cvs Pharmacy #16186 is an health care organization with primary practice located at 14546 Dellwood Dr , Baxter MN 56425-9744. 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 (218) 828-9219, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
14546 Dellwood Dr Baxter MN 56425-9744
Phone: (218) 828-9219
Fax: (218) 828-9219
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 607982 Minnesota

Profile Details

NPI number 1952323636
LBN Legal business name Grand St Paul Cvs Llc
DBA Doing business as Cvs Pharmacy #16186
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952323636 NPPES
Minnesota MEDICAID 257560400
Minnesota Other 2046823

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