Cvs Pharmacy # 01995

LBN: Grand St Paul Cvs Llc
Cvs Pharmacy # 01995 is an health care organization with primary practice located at 15115 Dove Trail , Apple Valley MN 55124. 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 (952) 423-3200, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
15115 Dove Trail Apple Valley MN 55124
Phone: (952) 423-3200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 770-2751

Health care specialties

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

Profile Details

NPI number 1154510014
LBN Legal business name Grand St Paul Cvs Llc
DBA Doing business as Cvs Pharmacy # 01995
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2007
Last updated Nov 18th, 2010 - about 16 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 1154510014 NPPES
Minnesota MEDICAID 734475100
Minnesota Other 2428490

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