Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grand St Paul Cvs LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1356619415

Grand St Paul Cvs LLC is a Durable Medical Equipment & Medical Supplies in Detroit Lakes, Minnesota. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

329 Frazee St E
Detroit Lakes, MN 56501-3603
Phone: (218) 847-1484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1356619415
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Colbert — Director, Payer Relations · (401) 765-1500
Other names Cvs Pharnacy # 05616; Cvs Pharnacy # 05616
NPI enumeratedDecember 5, 2011
Last updated in NPPESJanuary 17, 2023
Certification dateJanuary 17, 2023
Mailing address1 Cvs Dr, P.O.Box 1075-Pharmacy Enrollments, Woonsocket, RI 02895-6146

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