Grand St Paul Cvs Phcy Llc

NPI 1487748760 - Pharmacy - 3336C0003X

NPI Details
NPI 1487748760
Enumeration Date 10/03/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CLAUDIA CLAUDIA
Position PHCY ENROLLMENT REP
Phone (952) 432-8770
Fax
Practice Location
17578 DOOD BLVD
LAKEVILLE MN, 55044, US
Phone (952) 432-8770
Fax
Business Location
17578 DOOD BLVD
LAKEVILLE MN, 55044, US
Phone
Fax
Toxanomy
Taxonomy Code 3336C0003X
License State Minnesota
License Number 262890
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According to our database, Grand St Paul Cvs Phcy Llc NPI is 1487748760, taxonomy code is 3336C0003X and license number is 262890, license state is located at Minnesota. Grand St Paul Cvs Phcy Llc physically located at 17578 Dood Blvd, Lakeville MN, 55044. NPI Number 1033115704 has the healthcare provider type.

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1487748760 NPI number is provided on an as is basis without warranty of any kind. 1487748760 is maintained by the National Plan & Provider Enumeration System. The contents of Grand St Paul Cvs Phcy Llc are for informational purposes only.