Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
GRAND ST PAUL CVS LLC
Active
Organization
GRAND ST PAUL CVS LLC
Active
Other names
CVS Pharmacy #17466
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
449 COMMERCE DR, WOODBURY, MN 55125-4872
(651) 239-1875
(651) 239-1885
Mailing address
1 CVS DR, MAIL CODE 1090, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
263655
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699079483
—
MN
01
—
2128270
PK
—
Enumeration date
01/07/2011
Last updated
11/21/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up