Whalio Doctors

NPI 1861414542

Grand St Paul Cvs LLC

Organisation Pharmacy Cottage Grove, MN

Practice location

Address
8655 E Point Douglas Rd S, Cottage Grove, MN 55016-4035
Phone
(651) 458-8219
Fax
(651) 234-4713
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 60817 (MN)

Registry record

NPI
1861414542
Entity type
Organization
NPI issued
24 Jul 2006
Record last updated
15 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.