<Unavail>

LBN: Grand St Paul Cvs, Llc
<Unavail> is an health care organization with primary practice located at 2420 Division St , St. Cloud MN 56301. 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 (320) 253-5366, or through Colbert, Susan F. via phone (401) 765-1500.

Contact Information

Primary practice address
2420 Division St St. Cloud MN 56301
Phone: (320) 253-5366
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan F.
Phone: (401) 765-1500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1063759546
LBN Legal business name Grand St Paul Cvs, Llc
DBA Doing business as <Unavail>
Authorized official Colbert, Susan F.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2013
Last updated Apr 12th, 2013 - about 13 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 1063759546 NPPES
Minnesota MEDICAID 1063759546
Minnesota Other 2431740

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