Grand St Paul Cvs Llc
Grand St Paul Cvs Llc is a health care provider in Woonsocket, RI. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 851 W 78th St, Chanhassen, MN 55317-9579, US |
|Practice Location Phone||952-470-1006|
|Practice Location Fax||952-277-1006|
|Legal Business Name||GRAND ST PAUL CVS LLC|
|Other Organization Name||CVS PHARMACY #16300|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ? ||Jul 24, 2006|
|Last Update Date ? ||Nov 15, 2016|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Grand St Paul Cvs Llc
|Specialty||Provider Type||Specialization||License||License State|
|Durable Medical Equipment & Medical Supplies||Suppliers|| |
|Pharmacy||Suppliers||Community/Retail Pharmacy ||360706||Minnesota|
Legacy Provider IDs of Grand St Paul Cvs Llc
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Grand St Paul Cvs Llc
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Grand St Paul Cvs Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official || Susan Colbert|
|Authorized Official Title/Position||SR. DIRECTOR, PAYER RELATIONS|
|Authorized Official Phone Number||401-770-2751|