Cub Pharmacy

LBN: Supervalu Pharmacies Inc
Cub Pharmacy is an health care organization with primary practice located at 1021 15Th Ave Se , Rochester MN 55904. 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 (507) 288-3234, or through Mccann, Steve via phone (952) 828-4531.

Contact Information

Primary practice address
1021 15Th Ave Se Rochester MN 55904
Phone: (507) 288-3234
Fax: (507) 288-8977
Website:
Map and Directions
Authorized official contact:
Name: Mccann, Steve
Phone: (952) 828-4531

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 261996 Minnesota

Profile Details

NPI number 1003921149
LBN Legal business name Supervalu Pharmacies Inc
DBA Doing business as Cub Pharmacy
Authorized official Mccann, Steve
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
Last updated Jun 28th, 2023 - about last year

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 1003921149 NPPES
Other 2048203 PK
Other 2424137 PK
MEDICAID 490610100 PK

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