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.

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Contact Information

SUPERVALU PHARMACIES INC

615 W CENTRAL ENTRANCE
DULUTH, MN 55811

Phone: 218-727-3010
Fax: 218-727-7586
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Clinic/Center	261Q00000X
Durable Medical Equipment & Medical Supplies	332B00000X	54	Other Medical Supply Company
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for SUPERVALU PHARMACIES INC

NPI Number 1588779623

LBN Legal business name SUPERVALU PHARMACIES INC

Authorized official STEVE MCCANN - (VP PHARMACY)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/20/2006

Last updated 06/15/2023 - About 3 years ago

Identifiers

MN	License #	261071
MN	Medicaid	549314500
	Other	2421078	NCPDP
	Other	2047025	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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