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Supervalu Pharmacies Inc

Supervalu Pharmacies Inc is a health care provider in Eden Prairie, MN. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 1276 Town Centre Dr, Eagan, MN 55123-1064, US
Practice Location Phone651-686-0392
Practice Location Fax651-686-0418
Legal Business NameSUPERVALU PHARMACIES INC
Other Organization NameCUB PHARMACY
Other Organization Name TypeDoing Business As Name
NPI ?1295146702
Entity TypeOrganization
Enumeration Date ? May 19, 2014
Last Update Date ? Oct 3, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Supervalu Pharmacies Inc

SpecialtySpecializationLicenseLicense State
PharmacyCommunity/Retail Pharmacy 264453Minnesota

legacy-id-icon Legacy Provider IDs of Supervalu Pharmacies Inc

Provider IdIssuer StateIssuer TypeIssuer
2146379OtherPK
1295146702MinnesotaMedicaid

official-icon Authorized Official of Supervalu Pharmacies Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Supervalu Pharmacies Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Aaron Sapp
Authorized Official Title/PositionDIRECTOR OF PHARMACY SERVICES
Authorized Official Phone Number952-828-4026