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Supervalu Pharmacies Inc
Community/Retail Pharmacy in Lakeville, Minnesota
NPI 1215348727

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 Lakeville, MN. The NPI Number for Supervalu Pharmacies Inc is 1215348727 and holds a License No. (Minnesota).

The current practice location address for Supervalu Pharmacies Inc is 17756 Kenwood Trl, Lakeville, MN and can be reached out via phone at 952-435-0542 and via fax at 952-435-2072.

Location: 17756 Kenwood Trl, Lakeville, MN, 55344-3643
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215348727
Provider Name
Supervalu Pharmacies Inc
Credential
Provider Entity Type
Organization
Address
17756 Kenwood Trl, Lakeville, MN, 55344-3643
Phone Number
952-435-0542
Fax Number
952-435-2072
Provider Enumeration Date
05/19/2014
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
2432449 01 NCPDP
1215348727 05 MN
2146380 01 PK
institution
Provider Business Practice Location Address Details
Address
17756 Kenwood Trl
City
Lakeville
State
Minnesota
Zip
55044
Phone Number
952-435-0542
Fax Number
952-435-2072
person
Provider Business Mailing Address Details
Address
17756 Kenwood Trl
City
Lakeville
State
Minnesota
Zip
55044
Phone Number
952-435-0542
Fax Number
952-435-2072
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
264452 (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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