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Grand St Paul Cvs Llc
Community/Retail Pharmacy in Lakeville, Minnesota
NPI 1619147923

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 Lakeville, MN. The NPI Number for Grand St Paul Cvs Llc is 1619147923 and holds a License No. (Minnesota).

The current practice location address for Grand St Paul Cvs Llc is 17665 Kenwood Trl, Lakeville, MN and can be reached out via phone at 952-435-3784.

Location: 17665 Kenwood Trl, Lakeville, MN, 02895-6146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619147923
Provider Name
Grand St Paul Cvs Llc
Credential
Provider Entity Type
Organization
Address
17665 Kenwood Trl, Lakeville, MN, 02895-6146
Phone Number
952-435-3784
Fax Number
Provider Enumeration Date
03/04/2008
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
2428755 01 MN COMMERCIAL NUMBER
344132000 05 MN
institution
Provider Business Practice Location Address Details
Address
17665 Kenwood Trl
City
Lakeville
State
Minnesota
Zip
55044-9455
Phone Number
952-435-3784
Fax Number
person
Provider Business Mailing Address Details
Address
17665 Kenwood Trl
City
Lakeville
State
Minnesota
Zip
55044-9455
Phone Number
952-435-3784
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
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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