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Supervalu Pharmacies Inc
Community/Retail Pharmacy in Forest Lake, Minnesota
NPI 1558476697

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 Forest Lake, MN. The NPI Number for Supervalu Pharmacies Inc is 1558476697 and holds a License No. (Minnesota).

The current practice location address for Supervalu Pharmacies Inc is 2013 W Broadway Ave, Forest Lake, MN and can be reached out via phone at 651-982-4603 and via fax at 651-982-4626.

Location: 2013 W Broadway Ave, Forest Lake, MN, 55344-3643
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558476697
Provider Name
Supervalu Pharmacies Inc
Credential
Provider Entity Type
Organization
Address
2013 W Broadway Ave, Forest Lake, MN, 55344-3643
Phone Number
651-982-4603
Fax Number
651-982-4626
Provider Enumeration Date
08/20/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2048257 01 PK
166607000 05 MN
institution
Provider Business Practice Location Address Details
Address
2013 W Broadway Ave
City
Forest Lake
State
Minnesota
Zip
55025-4500
Phone Number
651-982-4603
Fax Number
651-982-4626
person
Provider Business Mailing Address Details
Address
2013 W Broadway Ave
City
Forest Lake
State
Minnesota
Zip
55025-4500
Phone Number
651-982-4603
Fax Number
651-982-4626
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
262112 (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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