Cub Pharmacy

LBN: Supervalu Pharmacies Inc
Cub Pharmacy is an health care organization with primary practice located at 3620 Texas Ave S , St Louis Park MN 55426-4057. 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 (952) 933-3177, or through Sapp, Aaron via phone (952) 828-4026.

Contact Information

Primary practice address
3620 Texas Ave S St Louis Park MN 55426-4057
Fax: (952) 933-4187
Website:
Authorized official contact:
Name: Sapp, Aaron

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 261679 Minnesota

Profile Details

NPI number 1740395888
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 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 1740395888 NPPES
Other 2048078 PK
MEDICAID 687224700 PK

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