Cvs Pharmacy #17453

LBN: Grand St Paul Cvs Llc
Cvs Pharmacy #17453 is an health care organization with primary practice located at 15560 Pilot Knob Rd , Apple Valley MN 55124-7286. 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) 236-3166, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
15560 Pilot Knob Rd Apple Valley MN 55124-7286
Fax: (952) 236-3176
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 263150 Minnesota

Profile Details

NPI number 1922285956
LBN Legal business name Grand St Paul Cvs Llc
DBA Doing business as Cvs Pharmacy #17453
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2008
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 1922285956 NPPES
Other 2049353 PK
MEDICAID 026637200 PK

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