Organization
SUPERVALU PHARMACIES INC
Active
Other names
CUB PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AARON SAPP (DIRECTOR OF PHARMACY SERVICES)
(952) 828-4026
Entity
Organization
Contact information
Practice address
1008 HIGHWAY 55 E, BUFFALO, MN 55313-8906
(763) 682-5828
(763) 682-5968
Mailing address
11840 VALLEY VIEW RD, ATTN: MANAGED CARE PHARMACY DEPT., EDEN PRAIRIE, MN 55344-3643
(952) 828-4588
(952) 947-3470
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
261595
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180822200
—
MN
01
—
2047929
PK
—
Enumeration date
08/20/2006
Last updated
10/03/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us