GRAND ST PAUL CVS LLC
Organization (NPI-2)
Active
Pharmacy
Provider Information
- NPI Number
1861414559- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 18275 KENRICK AVE, LAKEVILLE, MN, 550447306
- Phone
- (952) 892-5454
- Fax
- (612) 354-5211
Specialties & Taxonomies
Pharmacy, Community/Retail Pharmacy
License: MN #22525
Durable Medical Equipment & Medical Supplies
Pharmacy
Primary