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Contact Information

SUPERVALU PHARMACIES INC
7191 10TH ST N
OAKDALE, MN55128
 Phone: 651-731-6247
 Fax: 651-739-6253
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for SUPERVALU PHARMACIES INC

NPI # 1558772194
LBN Legal business name SUPERVALU PHARMACIES INC
Authorized official STEVE MCCANN - (VP PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 05/16/2014
Last updated 06/20/2018 - About 8 years ago
Identifiers
MN License # 264470
MN Medicaid 1558772194
Other 2432475 NCPDP
Other 2146384 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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