Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Supervalu Pharmacies Inc

Organization Pharmacy · NPI 1760893374

Supervalu Pharmacies Inc is a Pharmacy in St Louis Park, Minnesota. Licensed in Minnesota. Registered with an NPI since 2014.

Licensed in
MN
In the registry since
2014
Specialties on file
2
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

5370 16th Ave
St Louis Park, MN 55416
Phone: (952) 544-0542
Fax: (952) 544-0629
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 264447 (MN)
Pharmacy Taxonomy 333600000X

Record details

NPI number1760893374
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica O'Connell — Sr. Manager, Managed Care · (651) 779-4023
Other names Cub Pharmacy; Cub Pharmacy
NPI enumeratedMay 16, 2014
Last updated in NPPESOctober 23, 2026
Certification dateOctober 23, 2026
Mailing addressPo Box 990, Minneapolis, MN 55440-0990

Other providers in St Louis Park