Grand St Paul Cvs Llc in Otsego - Pharmacy
Grand St Paul Cvs Llc - NPI 1023030707
Grand St Paul Cvs Llc is a Pharmacy in Otsego, Minnesota. Grand St Paul Cvs Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Grand St Paul Cvs Llc is 1023030707. The last update date is 2016-11-21.
Grand St Paul Cvs Llc's current location address is 15800 87th St Ne, Otsego, Minnesota. You can contact this provider via phone number 7632521316 and fax number 7632521326. The mailing address for Grand St Paul Cvs Llc is 15800 87th St Ne, Otsego, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grand St Paul Cvs Llc |
|---|---|
| Address | 15800 87th St Ne, Otsego, Minnesota |
| Phone Number | 7632521316 |
| Fax Number | 7632521326 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR. DIRECT |
|---|---|
| Authorized Official Name | Colbert Susan |
| Telephone Number | 4017702751 |
NPI Number Detail
| NPI Number | 1023030707 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2016-11-21 |
Provider Mailing Address Detail
| Address | 15800 87th St Ne |
|---|---|
| City | Otsego |
| State | Minnesota (MN) |
| Post Code | 553306546 |
| Phone Number | 7632521316 |
| Fax Number | 7632521326 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
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Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1178900 | MN | -- | |
| 2047383 | PK |
Post Comment/ Review Below
What is the unique provider identifier assigned to Grand St Paul Cvs Llc?
The Grand St Paul Cvs Llc has been issued the NPI (National Provider Identifier) 1023030707 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Grand St Paul Cvs Llc's physical address?
The Grand St Paul Cvs Llc is physically located at 15800 87Th St Ne, in the city of Otsego, MN, with the postal code 553306546.
What is the Grand St Paul Cvs Llc's area of specialization and corresponding taxonomy classification?
The Grand St Paul Cvs Llc's specialty field is Pharmacy, and it falls under the taxonomy code 333600000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1023030707 to Grand St Paul Cvs Llc?
The Centers for Medicare & Medicaid Services originally issued the 1023030707 to Grand St Paul Cvs Llc on 2006-07-24.
As of what date were the details related to Grand St Paul Cvs Llc most recently updated or revised?
The information pertaining to Grand St Paul Cvs Llc, including its address, specialty, and other relevant details, was last updated or revised on 2016-11-21.
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