Organization
GRAND ST PAUL CVS LLC
Active
Other names
CVS Pharmacy #16780
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
749 APOLLO DR, LINO LAKES, MN 55014-3035
(651) 784-7618
(651) 784-3531
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
11567
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2048306
PK
—
05
—
353795100
—
MN
Enumeration date
07/24/2006
Last updated
11/15/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us