Cub Pharmacy #1965

LBN: Supervalu Pharmacies Inc
Cub Pharmacy #1965 is an health care organization with primary practice located at 900 Central Ave E , Saint Michael MN 55376-4594. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Supervalu Pharmacies Inc can be contacted via phone (763) 497-3568, or through O'Connell, Jessica via phone (651) 779-4023.

Contact Information

Primary practice address
900 Central Ave E Saint Michael MN 55376-4594
Phone: (763) 497-3568
Fax: (763) 497-3605
Website:
Map and Directions
Authorized official contact:
Name: O'Connell, Jessica
Phone: (651) 779-4023

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1780213587
LBN Legal business name Supervalu Pharmacies Inc
DBA Doing business as Cub Pharmacy #1965
Authorized official O'Connell, Jessica
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2020
Last updated Mar 7th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780213587 NPPES
Other 2434859 NCPDP
Other 266083 NCPDP
Other 0326790254 NCPDP

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