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Supervalu Pharmacies Inc
Community/Retail Pharmacy in Coon Rapids, Minnesota
NPI 1306951447

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 Coon Rapids, MN. The NPI Number for Supervalu Pharmacies Inc is 1306951447 and holds a License No. (Minnesota).

The current practice location address for Supervalu Pharmacies Inc is 12900 Riverdale Dr Nw, Coon Rapids, MN and can be reached out via phone at 763-421-0065 and via fax at 763-421-5908.

Location: 12900 Riverdale Dr Nw, Coon Rapids, MN, 55344-3643
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306951447
Provider Name
Supervalu Pharmacies Inc
Credential
Provider Entity Type
Organization
Address
12900 Riverdale Dr Nw, Coon Rapids, MN, 55344-3643
Phone Number
763-421-0065
Fax Number
763-421-5908
Provider Enumeration Date
08/20/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2046712 01 PK
816360000 05 MN
institution
Provider Business Practice Location Address Details
Address
12900 Riverdale Dr Nw
City
Coon Rapids
State
Minnesota
Zip
55448-1282
Phone Number
763-421-0065
Fax Number
763-421-5908
person
Provider Business Mailing Address Details
Address
12900 Riverdale Dr Nw
City
Coon Rapids
State
Minnesota
Zip
55448-1282
Phone Number
763-421-0065
Fax Number
763-421-5908
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
260728 (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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