Grand St Paul Cvs Llc is an authorized DME supplier for medicare equipments and products.
Grand St Paul Cvs Llc is a Pharmacy in Apple Valley, Minnesota. It is located at 15115 Dove Trail, Apple Valley and it's customer support contact number is 952-423-3200. The authorized person of Grand St Paul Cvs Llc is Susan Colbert who is Director, Payer Relations of the pharmacy and his contact number is 401-770-2751.Grand St Paul Cvs Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Grand St Paul Cvs Llc is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Grand St Paul Cvs Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Grand St Paul Cvs Llc
Type:
Pharmacy
Location:
15115 Dove Trail, Apple Valley, Minnesota, 55124
Phone:
952-423-3200
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Susan Colbert
Position:
Director, Payer Relations
Contact Number:
401-770-2751
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1154510014
NPI Enumeration Date:
17 Oct, 2007
NPI Last Update On:
18 Nov, 2010
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grand St Paul Cvs Llc are as mentioned below.
Specialization
License Number
State
Status
Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Community/Retail Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
734475100
Medicaid
Minnesota
2428490
Other
Minnesota
Commercial Number
Medicare Enrollment:
Grand St Paul Cvs Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
4688875156
O20100930042127
Grand St Paul Cvs Llc
DME SUPPLIER - PHARMACY
Products Available:
Grand St Paul Cvs Llc has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Mail Order
Blood Glucose Monitors & Supplies: Non-mail Order
Canes & Crutches
Commodes, Urinals, & Bedpans
Enteral Equipment And/or Supplies
Enteral Nutrients
Heat & Cold Applications
Nebulizer Equipment & Supplies
Ostomy Supplies
Parenteral Equipment And/or Supplies
Parenteral Nutrients
Surgical Dressings
Urological Supplies
Walkers
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Patients can reach Grand St Paul Cvs Llc at 15115 Dove Trail, Apple Valley, Minnesota or can call on customer care at 952-423-3200.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.
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