Whalio Doctors

NPI 1013141001

Grand St Paul Cvs LLC

Organisation Pharmacy Woodbury, MN

Practice location

Address
8468 Tamarack Bay, Woodbury, MN 55125
Phone
(651) 731-5177
Mailing address
1 Cvs Dr Box 1075 -Pharmacy Enrollments, Woonsocket, RI 02895-6146

Authorised official

Name
Susan F. Colbert
Title
Director, Payer Relations
Phone
(401) 770-2751

Registered specialties (3)

Pharmacy Primary
Suppliers Taxonomy 333600000X
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X

Registry record

NPI
1013141001
Entity type
Organization
NPI issued
6 May 2009
Record last updated
7 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.