Whalio Doctors

NPI 1407961543

Supervalu Pharmacies INC

Organisation Community/Retail Pharmacy Maplewood, MN

Practice location

Address
100 County Road B W, Maplewood, MN 55117-1931
Phone
(651) 489-6271
Fax
(651) 487-0966
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 260333 (MN)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1407961543
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.