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Grand St Paul Cvs Llc
Community/Retail Pharmacy in Rogers, Minnesota
NPI 1952323644

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 Rogers, MN. The NPI Number for Grand St Paul Cvs Llc is 1952323644 and holds a License No. (Minnesota).

The current practice location address for Grand St Paul Cvs Llc is 21615 S Diamond Lake Rd, Rogers, MN and can be reached out via phone at 763-428-6392 and via fax at 763-898-5508.

Location: 21615 S Diamond Lake Rd, Rogers, MN, 02895-6146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952323644
Provider Name
Grand St Paul Cvs Llc
Credential
Provider Entity Type
Organization
Address
21615 S Diamond Lake Rd, Rogers, MN, 02895-6146
Phone Number
763-428-6392
Fax Number
763-898-5508
Provider Enumeration Date
07/24/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
232304400 05 MN
2048308 01 PK
institution
Provider Business Practice Location Address Details
Address
21615 S Diamond Lake Rd
City
Rogers
State
Minnesota
Zip
55374-8893
Phone Number
763-428-6392
Fax Number
763-898-5508
person
Provider Business Mailing Address Details
Address
21615 S Diamond Lake Rd
City
Rogers
State
Minnesota
Zip
55374-8893
Phone Number
763-428-6392
Fax Number
763-898-5508
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
11720 (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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