Cub Pharmacy

LBN: Supervalu Pharmacies Inc
Cub Pharmacy is an health care organization with primary practice located at 1020 Diffley Rd , Eagan MN 55123-1777. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Supervalu Pharmacies Inc can be contacted via phone (651) 452-5500, or through Sapp, Aaron via phone (952) 828-4026.

Contact Information

Primary practice address
1020 Diffley Rd Eagan MN 55123-1777
Phone: (651) 452-5500
Fax: (651) 452-3102
Website:
Map and Directions
Authorized official contact:
Name: Sapp, Aaron
Phone: (952) 828-4026

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 263255 Minnesota

Profile Details

NPI number 1598912560
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 Aug 21st, 2008
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 1598912560 NPPES
Minnesota MEDICAID 035477000
Minnesota Other 2117429

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