Organization
SUPERVALU PHARMACIES INC.
Active
Organization
SUPERVALU PHARMACIES INC.
Active
Other names
CUB PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA O'CONNELL (SR MANAGER MANAGED CARE)
(651) 779-4023
Entity
Organization
Contact information
Practice address
1750 COUNTY ROAD 42 W, BURNSVILLE, MN 55337-6200
(952) 800-0988
Mailing address
421 3RD ST S, STILLWATER, MN 55082-4955
(651) 779-4023
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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