National Provider Identifier Database

SUPERVALU PHARMACIES INC
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

SUPERVALU PHARMACIES INC
1800 MADISON AVE
MANKATO, MN56001
Phone: 507-625-1241
Fax: 507-625-1322
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for SUPERVALU PHARMACIES INC

NPI Number 1194830232
Legal business name
LBN
SUPERVALU PHARMACIES INC
Authorized official STEVE MCCANN - (VP PHARMACY)
Entity Organization
Organization subpart No
Enumeration date 08/20/2006
Last updated 06/20/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 261974
  • MN Medicaid: 896475100
  • Other: 2423983 NCPDP
  • Other: 2048188 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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