Cub Pharmacy

LBN: Supervalu Pharmacies Inc
Cub Pharmacy is an health care organization with primary practice located at 1201 Larpenteur Ave W , Roseville MN 55113-6318. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Supervalu Pharmacies Inc can be contacted via phone (651) 487-4068, or through Sapp, Aaron via phone (952) 828-4026.

Contact Information

Primary practice address
1201 Larpenteur Ave W Roseville MN 55113-6318
Phone: (651) 487-4068
Fax: (651) 487-4096
Website:
Map and Directions
Authorized official contact:
Name: Sapp, Aaron
Phone: (952) 828-4026

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 264469 Minnesota

Profile Details

NPI number 1962813469
LBN Legal business name Supervalu Pharmacies Inc
DBA Doing business as Cub Pharmacy
Authorized official Sapp, Aaron
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2014
Last updated Oct 3rd, 2016 - about 10 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 1962813469 NPPES
Other 2146382 PK
MEDICAID 1962813469 PK

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