Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Supervalu Pharmacies Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1215042353

Supervalu Pharmacies Inc is a Durable Medical Equipment & Medical Supplies in Plymouth, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3550 Vicksburg Ln N
Plymouth, MN 55447-1322
Phone: (763) 553-2627
Fax: (763) 557-9554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 260753 (MN)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1215042353
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aaron Sapp — Director Of Pharmacy Services · (952) 828-4026
Other names Cub Pharmacy
NPI enumeratedAugust 20, 2006
Last updated in NPPESOctober 3, 2016
Mailing address11840 Valley View Rd, Attn: Managed Care Pharmacy Dept., Eden Prairie, MN 55344-3643

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