<Unavail>
LBN: Grand St Paul Cvs Llc
<Unavail> is an health care organization with primary practice located at 2100 Paul Bunyan Dr Nw , Bemidji MN 56601-5645. 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 (218) 759-0133, or through Colbert, Susan via phone (401) 770-2751.
Contact Information
Primary practice address
2100 Paul Bunyan Dr Nw
Bemidji MN 56601-5645
Phone: (218) 759-0133
Fax: (218) 759-0133
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 212844 | Minnesota |
Profile Details
| NPI number | 1841212529 |
|---|---|
| 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 | Jul 24th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841212529 | NPPES |
| Other | 2047441 | PK | |
| MEDICAID | 369318000 | PK |
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