Grand St Paul Cvs Llc in St Louis Park - Community/retail Pharmacy

Grand St Paul Cvs Llc - NPI 1316969090

Grand St Paul Cvs Llc is a Community/retail Pharmacy in St Louis Park, Minnesota. Grand St Paul Cvs Llc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Grand St Paul Cvs Llc is 1316969090. The last update date is 2016-11-14.

Grand St Paul Cvs Llc's current location address is 3601 Highway 100 S, St Louis Park, Minnesota. You can contact this provider via phone number 9529268967 and fax number 9529268967. The mailing address for Grand St Paul Cvs Llc is 3601 Highway 100 S, St Louis Park, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Grand St Paul Cvs Llc
Address 3601 Highway 100 S, St Louis Park, Minnesota
Phone Number 9529268967
Fax Number 9529268967
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SR. DIRECT
Authorized Official Name Colbert Susan
Telephone Number 4017702751

NPI Number Detail

NPI Number 1316969090
Provider Enumeration Date 2006-07-24
Last Updated Date 2016-11-14

Provider Mailing Address Detail

Address 3601 Highway 100 S
City St Louis Park
State Minnesota (MN)
Post Code 554162500
Phone Number 9529268967
Fax Number 9529268967

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No 264901
Definition:
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2046510 PK

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FAQs about Grand St Paul Cvs Llc

What is the unique identifier code issued to Grand St Paul Cvs Llc by the Centers for Medicare & Medicaid Services (CMS)?

The Grand St Paul Cvs Llc has been assigned the NPI (National Provider Identifier) 1316969090. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Grand St Paul Cvs Llc?

The Grand St Paul Cvs Llc is situated at 3601 Highway 100 S, in the city of St Louis Park, state of MN, with the zip code 554162500.

What is Grand St Paul Cvs Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Grand St Paul Cvs Llc is Community/retail Pharmacy, and the taxonomy code that categorizes this field of expertise is 3336C0003X.

On what date did the Grand St Paul Cvs Llc receive the assignment of its 1316969090 from the Centers for Medicare & Medicaid Services?

The Grand St Paul Cvs Llc was issued its 1316969090 by the Centers for Medicare & Medicaid Services on 2006-07-24.

As of what date was the information regarding Grand St Paul Cvs Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Grand St Paul Cvs Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-11-14.

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