<Unavail>

LBN: Grand St Paul Cvs Llc
<Unavail> is an health care organization with primary practice located at 1000 Nicollet Mall # 0272 , Minneapolis MN 55403-2542. 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 (612) 354-5914, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
1000 Nicollet Mall # 0272 Minneapolis MN 55403-2542
Fax:
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 264011 Minnesota

Profile Details

NPI number 1326392762
LBN Legal business name Grand St Paul Cvs Llc
DBA Doing business as <Unavail>
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2012
Last updated Nov 15th, 2016 - about 10 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 1326392762 NPPES
Minnesota MEDICAID 1326392762
Minnesota Other 2137639

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