Supervalu Pharmacies Inc Valid NPI
Organization · Community/Retail Pharmacy · Coon Rapids, MN
- NPI
- 1902911043
- Type
- Organization (Type 2)
- Primary specialty
- Community/Retail Pharmacy (Pharmacy)
- Specialty group
- Suppliers
- Taxonomy code
- 3336C0003X
- License number
- 262213 (MN)
- Enumerated
- 2006-08-20
- Last updated
- 2016-10-03
Practice location
2050 Northdale Blvd Nw
Coon Rapids, MN 55433-3036
(763) 754-9036