Supervalu Pharmacies INC
NPI #1558476697 in Forest Lake, Minnesota
Provider Information
- NPI Number
- 1558476697
- Entity Type
- Organization
- Organization Name
- Supervalu Pharmacies INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 20, 2006
- Last Updated
- Oct 3, 2016
Practice Location
- Address
- 2013 W BROADWAY AVE
- City
- Forest Lake
- State
- Minnesota
- ZIP Code
- 55025-4500
- Phone
- (651) 982-4603
Authorized Official
- Name
- AARON SAPP
- Title
- DIRECTOR OF PHARMACY SERVICES
- Phone
- (952) 828-4026
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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