Whalio Doctors

NPI 1386759421

Supervalu Pharmacies INC

Organisation Community/Retail Pharmacy Brooklyn Center, MN

Practice location

Address
3245 County Road 10, Brooklyn Center, MN 55429-3079
Phone
(763) 503-6810
Fax
(763) 503-6813
Mailing address
11840 Valley View Rd Attn: Managed Care Pharmacy Dept., Eden Prairie, MN 55344-3643

Authorised official

Name
Aaron Sapp
Title
Director of Pharmacy Services
Phone
(952) 828-4026

Registered specialties (3)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 261856 (MN)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1386759421
Entity type
Organization
NPI issued
20 Aug 2006
Record last updated
3 Oct 2016

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.