Cvs Pharmacy # 10252

LBN: Grand St Paul Cvs Llc
Cvs Pharmacy # 10252 is an health care organization with primary practice located at 1411 Vermillion , Hastings MN 55033. 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 (651) 438-2200, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
1411 Vermillion Hastings MN 55033
Phone: (651) 438-2200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
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 1194126995
LBN Legal business name Grand St Paul Cvs Llc
DBA Doing business as Cvs Pharmacy # 10252
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2014
Last updated Feb 12th, 2015 - about 11 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 1194126995 NPPES
Wisconsin MEDICAID 100042576
Wisconsin MEDICAID 1194126995
Wisconsin Other 2432627

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