Grand St Paul Cvs Llc in Fridley - Pharmacy
Grand St Paul Cvs Llc - NPI 1972603280
Grand St Paul Cvs Llc is a Pharmacy in Fridley, 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 1972603280. The last update date is 2016-11-21.
Grand St Paul Cvs Llc's current location address is 755 53rd Ave Ne, Fridley, Minnesota. You can contact this provider via phone number 7635719766 and fax number 7638520086. The mailing address for Grand St Paul Cvs Llc is 755 53rd Ave Ne, Fridley, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grand St Paul Cvs Llc |
|---|---|
| Address | 755 53rd Ave Ne, Fridley, Minnesota |
| Phone Number | 7635719766 |
| Fax Number | 7638520086 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR. DIRECT |
|---|---|
| Authorized Official Name | Colbert Susan |
| Telephone Number | 4017702751 |
NPI Number Detail
| NPI Number | 1972603280 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2016-11-21 |
Provider Mailing Address Detail
| Address | 755 53rd Ave Ne |
|---|---|
| City | Fridley |
| State | Minnesota (MN) |
| Post Code | 554211240 |
| Phone Number | 7635719766 |
| Fax Number | 7638520086 |
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 |
|---|---|---|---|
| 182057500 | MN | -- | |
| 2049110 | PK |
Post Comment/ Review Below
What is the unique identification code assigned to Grand St Paul Cvs Llc by the Centers for Medicare & Medicaid Services?
The Grand St Paul Cvs Llc has been issued the NPI (National Provider Identifier) 1972603280. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Grand St Paul Cvs Llc is located?
The Grand St Paul Cvs Llc is situated at the following address: 755 53Rd Ave Ne, Fridley, MN, 554211240.
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 1972603280 to Grand St Paul Cvs Llc?
The Centers for Medicare & Medicaid Services originally issued the 1972603280 to Grand St Paul Cvs Llc on 2006-09-25.
When was the Grand St Paul Cvs Llc's information last updated?
The Grand St Paul Cvs Llc's information was last updated on 2016-11-21.
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