Whalio Doctors

NPI 1245339555

Grand St Paul Cvs LLC

Organisation Pharmacy Maplewood, MN

Practice location

Address
2196 White Bear Ave N, Maplewood, MN 55109-2708
Phone
(651) 704-0322
Mailing address
1 Cvs Dr PO Box 1075, Woonsocket, RI 02895-6146

Authorised official

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

Registered specialties (3)

Pharmacy Primary
Suppliers Taxonomy 333600000X Licence 2627038 (MN)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X

Registry record

NPI
1245339555
Entity type
Organization
NPI issued
22 Sep 2006
Record last updated
25 Oct 2011

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.