Pharmacy Details

GRAND ST. PAUL CVS, L.L.C. - information as of 4/29/2025 12:55:29 AM

Name
GRAND ST. PAUL CVS, L.L.C.

Address

DBA: CVS/PHARMACY # 07110
3633 BUNKER LAKE BLVD., NW
ANDOVER, MN 55304

Comments

Contracts
History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
Details	DSH240057	ABBOTT NORTHWESTERN HOSPITAL		Disproportionate Share Hospital	800 EAST 28TH STREET		MINNEAPOLIS	MN	01/01/2024		1/1/2024 12:01 AM
Details	DSH240115	MERCY HOSPITAL		Disproportionate Share Hospital	4050 COON RAPIDS BLVD		COON RAPIDS	MN	01/01/2024		1/1/2024 12:01 AM
Details	PED243300-00	GILLETTE CHILDREN'S SPECIALTY HEALTHCARE		Children's Hospital	200 UNIVERSITY AVENUE EAST		ST. PAUL	MN	01/01/2022		1/1/2022 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Comments	Insert				3/28/2013 4:19 PM
Details	Is Deleted	Insert			False	3/28/2013 4:19 PM
Addresses	Pharmacy Address	Insert			GRAND ST. PAUL CVS, L.L.C. DBA: CVS/PHARMACY # 07110 3633 BUNKER LAKE BLVD., NW ANDOVER, MN 55304	3/28/2013 4:19 PM
Details	Name	Insert			GRAND ST. PAUL CVS, L.L.C.	3/28/2013 4:19 PM