Organization
GRAND ST PAUL CVS LLC
Active
Other names
CVS Pharmacy #17503
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
875 E MAIN ST, WACONIA, MN 55387-1081
(952) 442-9334
(952) 442-9343
Mailing address
1 CVS DR, MAIL CODE 1090, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
263240
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2116799
PK
—
05
—
896477000
—
MN
Enumeration date
09/03/2008
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.
Contact us