NPI 1093517914
Supervalu Pharmacies INC.
Practice location
- Address
- 1750 County Road 42 W, Burnsville, MN 55337-6200
- Phone
- (952) 800-0988
- Mailing address
- 421 3rd St S, Stillwater, MN 55082-4955
Authorised official
- Name
- Jessica O'Connell
- Title
- Sr Manager Managed Care
- Phone
- (651) 779-4023
Registered specialties (3)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Pharmacy
Registry record
- NPI
- 1093517914
- Entity type
- Organization
- NPI issued
- 24 Mar 2025
- Record last updated
- 24 Mar 2025
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.