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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
1540 NEW BRIGHTON BLVD, MINNEAPOLIS, MN 55413-1653
(612) 789-0342
(612) 789-0347
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
3336C0003X
Community/Retail Pharmacy
Primary
264467
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1891106423
MN
01
2146385
PK
Enumeration date
05/16/2014
Last updated
10/03/2016
About Stedi
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