Whalio Doctors

NPI 1396851606

Supervalu Pharmacies INC

Organisation Community/Retail Pharmacy Mankato, MN

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
Suppliers Taxonomy 3336C0003X Licence 262027 (MN)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X

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.