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 1336397298

Supervalu Pharmacies Inc is a Durable Medical Equipment & Medical Supplies in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in
MN
In the registry since
2008
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

1177 Clarence St
Saint Paul, MN 55106-2809
Phone: (651) 774-7772
Fax: (651) 774-7799
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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 263254 (MN)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1336397298
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica O'Connell — Manger, Managed Care · (952) 828-4588
Other names Cub Pharmacy
NPI enumeratedSeptember 4, 2008
Last updated in NPPESFebruary 20, 2017
Mailing address11840 Valley View Rd, Attn: Managed Care Pharmacy Dept., Eden Prairie, MN 55344-3643

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