Whalio Doctors

NPI 1194830232

Supervalu Pharmacies INC

Organisation Community/Retail Pharmacy Mankato, MN

Practice location

Address
1800 Madison Ave, Mankato, MN 56001
Phone
(507) 625-1241
Fax
(507) 625-1322
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 261974 (MN)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1194830232
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.