Cub Pharmacy

LBN: Supervalu Pharmacies Inc
Cub Pharmacy is an health care organization with primary practice located at 1276 Town Centre Dr , Eagan MN 55123-1064. 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) 686-0392, or through Sapp, Aaron via phone (952) 828-4026.

Contact Information

Primary practice address
1276 Town Centre Dr Eagan MN 55123-1064
Fax: (651) 686-0418
Website:
Authorized official contact:
Name: Sapp, Aaron

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 264453 Minnesota

Profile Details

NPI number 1295146702
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 8 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 1295146702 NPPES
Minnesota MEDICAID 1295146702
Minnesota Other 2146379

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