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Grand St Paul Cvs Llc
Community/Retail Pharmacy in Crystal, Minnesota
NPI 1558383224

Grand St Paul Cvs Llc is a Community/Retail Pharmacy based in Woonsocket, MN and is specialized in Community/Retail Pharmacy. Grand St Paul Cvs Llc practices in Crystal, MN. The NPI Number for Grand St Paul Cvs Llc is 1558383224 and holds a License No. (Minnesota).

The current practice location address for Grand St Paul Cvs Llc is 5537 W Broadway Ave, Crystal, MN and can be reached out via phone at 763-533-1651 and via fax at 763-252-2005.

Location: 5537 W Broadway Ave, Crystal, MN, 02895-6146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558383224
Provider Name
Grand St Paul Cvs Llc
Credential
Provider Entity Type
Organization
Address
5537 W Broadway Ave, Crystal, MN, 02895-6146
Phone Number
763-533-1651
Fax Number
763-252-2005
Provider Enumeration Date
07/24/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
221857700 05 MN
2043863 01 PK
institution
Provider Business Practice Location Address Details
Address
5537 W Broadway Ave
City
Crystal
State
Minnesota
Zip
55428-3507
Phone Number
763-533-1651
Fax Number
763-252-2005
person
Provider Business Mailing Address Details
Address
5537 W Broadway Ave
City
Crystal
State
Minnesota
Zip
55428-3507
Phone Number
763-533-1651
Fax Number
763-252-2005
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
8980 (Minnesota)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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