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 1679596969

Grand St Paul Cvs LLC is a Durable Medical Equipment & Medical Supplies in Coon Rapids, 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

3300 124th Ave NW
Coon Rapids, MN 55433-3805
Phone: (763) 323-8402
Fax: (763) 354-1626
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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 162319 (MN)

Record details

NPI number1679596969
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Colbert — Sr. Director, Payer Relations · (401) 770-2751
Other names Cvs Pharmacy #16508
NPI enumeratedJuly 26, 2006
Last updated in NPPESNovember 15, 2016
Mailing address1 Cvs Dr, Mail Code 1090, Woonsocket, RI 02895-6146

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