Cub Pharmacy
LBN: Supervalu Pharmacies Inc
Cub Pharmacy is an health care organization with primary practice located at 4205 Pheasant Ridge Dr Ne , Blaine MN 55449-4529. 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 (763) 784-0334, or through Sapp, Aaron via phone (952) 828-4026.
Contact Information
Primary practice address
4205 Pheasant Ridge Dr Ne
Blaine MN 55449-4529
Phone: (763) 784-0334
Fax: (763) 784-0346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 262078 | Minnesota |
Profile Details
| NPI number | 1649385782 |
|---|---|
| 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 20th, 2006 |
| Last updated | Oct 3rd, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649385782 | NPPES |
| Other | 2048240 | PK | |
| MEDICAID | 701163600 | PK |
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