| Supervalu Pharmacies Inc | |
|
615 W Central Entrance Duluth MN 55811 | |
| (218) 727-3010 | |
| (218) 727-7586 |
| Full Name | Supervalu Pharmacies Inc |
|---|---|
| Speciality | Pharmacy |
| Location | 615 W Central Entrance, Duluth, Minnesota |
| Authorized Official Name and Position | Steve Mccann (VP PHARMACY) |
| Authorized Official Contact | 9528284531 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Supervalu Pharmacies Inc 11840 Valley View Rd Eden Prairie MN 55344-3643 Ph: (952) 828-4588 | Supervalu Pharmacies Inc 615 W Central Entrance Duluth MN 55811 Ph: (218) 727-3010 |
| NPI Number | 1588779623 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 06/15/2023 |
| Medicare PECOS PAC ID | 2860472560 |
|---|---|
| Medicare Enrollment ID | O20100930063984 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588779623 | NPI | - | NPPES |
| 2421078 | Other | NCPDP | |
| 2047025 | Other | PK | |
| 549314500 | Medicaid | MN |
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