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 1639191307

Grand St Paul Cvs LLC is a Durable Medical Equipment & Medical Supplies in Burnsville, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
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

810 County Road 42 W
Burnsville, MN 55337-4426
Phone: (952) 236-3004
Fax: (952) 236-3014
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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 · Licence 263086 (MN)

Record details

NPI number1639191307
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Colbert — Sr. Director, Payer Relations · (401) 770-2751
Other names Cvs Pharmacy #17405; Cvs Pharmacy #17405
NPI enumeratedJuly 24, 2006
Last updated in NPPESFebruary 1, 2021
Certification dateJanuary 29, 2021
Mailing address1 Cvs Dr, Mail Code 1090, Woonsocket, RI 02895-6146

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