NPI 1396851606
Supervalu Pharmacies INC
Practice location
- Address
- 1200 S Riverfront Dr, Mankato, MN 56001-2484
- Phone
- (507) 446-2524
- Fax
- (507) 387-6996
- Mailing address
- 11840 Valley View Rd Attn: Managed Care Pharmacy Dept., Eden Prairie, MN 55344-3643
Authorised official
- Name
- Jessica O'Connell
- Title
- Manager Managed Care
- Phone
- (952) 828-4588
Registered specialties (3)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Pharmacy
Registry record
- NPI
- 1396851606
- Entity type
- Organization
- NPI issued
- 21 Aug 2006
- Record last updated
- 16 Feb 2017
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.