NPI 1023123163

Supervalu Pharmacies INC

Organisation Community/Retail Pharmacy Maplewood, MN

Practice location

Address: 2390 White Bear Ave N, Maplewood, MN 55109
Phone: (651) 777-3113
Fax: (651) 777-3725
Mailing address: 11840 Valley View Rd, Eden Prairie, MN 55344-3643

Authorised official

Name: Steve McCann
Title: Vp Pharmacy
Phone: (952) 828-4531

Registered specialties (3)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 261314 (MN)

Other Pharmacy providers in Minnesota →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Minnesota →

Pharmacy

Suppliers Taxonomy 333600000X

Registry record

NPI: 1023123163
Entity type: Organization
NPI issued: 20 Aug 2006
Record last updated: 20 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.