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

Grand St Paul Cvs LLC

Organization Pharmacy · NPI 1629226626

Grand St Paul Cvs LLC is a Pharmacy in Waconia, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in
MN
In the registry since
2008
Specialties on file
2
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

875 E Main St
Waconia, MN 55387-1081
Phone: (952) 442-9334
Fax: (952) 442-9343
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 263240 (MN)

Record details

NPI number1629226626
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Colbert — Sr. Director, Payer Relations · (401) 770-2751
Other names Cvs Pharmacy #17503
NPI enumeratedSeptember 3, 2008
Last updated in NPPESNovember 21, 2016
Mailing address1 Cvs Dr, Mail Code 1090, Woonsocket, RI 02895-6146

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