Supervalu Pharmacies Inc in Eden Prairie - Community/retail Pharmacy
Supervalu Pharmacies Inc - NPI 1588779623
Supervalu Pharmacies Inc is a Community/retail Pharmacy in Eden Prairie, Minnesota. Supervalu Pharmacies Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Supervalu Pharmacies Inc is 1588779623. The last update date is 2023-06-15.
Supervalu Pharmacies Inc's current location address is 11840 Valley View Rd, Eden Prairie, Minnesota. You can contact this provider via phone number 9528284588 and fax number 9529473470. The mailing address for Supervalu Pharmacies Inc is 11840 Valley View Rd, Eden Prairie, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Supervalu Pharmacies Inc |
|---|---|
| Address | 11840 Valley View Rd, Eden Prairie, Minnesota |
| Phone Number | 9528284588 |
| Fax Number | 9529473470 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP PHARMAC |
|---|---|
| Authorized Official Name | Mccann Steve |
| Telephone Number | 9528284531 |
NPI Number Detail
| NPI Number | 1588779623 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2023-06-15 |
Provider Mailing Address Detail
| Address | 11840 Valley View Rd |
|---|---|
| City | Eden Prairie |
| State | Minnesota (MN) |
| Post Code | 553443643 |
| Phone Number | 9528284588 |
| Fax Number | 9529473470 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 261071 |
|
Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2421078 | NCPDP | ||
| 2047025 | PK | ||
| 549314500 | MN | -- |
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What is the unique 10-digit identifier code issued to Supervalu Pharmacies Inc by the Centers for Medicare & Medicaid Services?
The Supervalu Pharmacies Inc has been assigned the NPI (National Provider Identifier) 1588779623 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Supervalu Pharmacies Inc?
The Supervalu Pharmacies Inc is physically situated at 11840 Valley View Rd, in the city of Eden Prairie, state of MN, with the postal code 553443643.
What is the Supervalu Pharmacies Inc's area of specialization and corresponding taxonomy classification?
The Supervalu Pharmacies Inc's specialty field is Community/retail Pharmacy, and it falls under the taxonomy code 3336C0003X, which categorizes healthcare providers based on their specialties.
On what date did Supervalu Pharmacies Inc receive its 1588779623 assignment from the Centers for Medicare & Medicaid Services?
The Supervalu Pharmacies Inc was assigned its 1588779623 on 2006-08-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Supervalu Pharmacies Inc's details last updated?
The information pertaining to the Supervalu Pharmacies Inc, including its address, specialty, and other details, was most recently updated on 2023-06-15.
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