Whalio Doctors

NPI 1124040803

Grand St Paul Cvs LLC

Organisation Pharmacy Woodbury, MN

Practice location

Address
7200 Valley Creek Plz, Woodbury, MN 55125-2265
Phone
(651) 735-9517
Fax
(651) 234-4675
Mailing address
1 Cvs Dr Mail Code 1090, Woonsocket, RI 02895-6146

Authorised official

Name
Susan Colbert
Title
Sr. 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 Licence 608774 (MN)

Registry record

NPI
1124040803
Entity type
Organization
NPI issued
24 Jul 2006
Record last updated
21 Nov 2016

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.