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Supervalu Pharmacies Inc
Community/Retail Pharmacy in Plymouth, Minnesota
NPI 1215042353

Supervalu Pharmacies Inc is a Community/Retail Pharmacy based in Eden Prairie, MN and is specialized in Community/Retail Pharmacy. Supervalu Pharmacies Inc practices in Plymouth, MN. The NPI Number for Supervalu Pharmacies Inc is 1215042353 and holds a License No. (Minnesota).

The current practice location address for Supervalu Pharmacies Inc is 3550 Vicksburg Ln N, Plymouth, MN and can be reached out via phone at 763-553-2627 and via fax at 763-557-9554.

Location: 3550 Vicksburg Ln N, Plymouth, MN, 55344-3643
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215042353
Provider Name
Supervalu Pharmacies Inc
Credential
Provider Entity Type
Organization
Address
3550 Vicksburg Ln N, Plymouth, MN, 55344-3643
Phone Number
763-553-2627
Fax Number
763-557-9554
Provider Enumeration Date
08/20/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2046807 01 PK
996860100 05 MN
institution
Provider Business Practice Location Address Details
Address
3550 Vicksburg Ln N
City
Plymouth
State
Minnesota
Zip
55447-1322
Phone Number
763-553-2627
Fax Number
763-557-9554
person
Provider Business Mailing Address Details
Address
3550 Vicksburg Ln N
City
Plymouth
State
Minnesota
Zip
55447-1322
Phone Number
763-553-2627
Fax Number
763-557-9554
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
260753 (Minnesota)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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