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 1942831839

Supervalu Pharmacies Inc is a Durable Medical Equipment & Medical Supplies in Minneapolis, Minnesota. Registered with an NPI since 2020.

In the registry since
2020
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

4601 Snelling Ave
Minneapolis, MN 55406-4464
Phone: (612) 886-3393
Fax: (612) 886-3850
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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
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1942831839
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica O'Connell — Manager, Managed Care · (651) 779-4023
Other names Cub Pharmacy #1587; Cub Pharmacy #1587
NPI enumeratedJanuary 29, 2020
Last updated in NPPESMarch 7, 2023
Certification dateJune 4, 2020
Mailing address421 3rd St S, Stillwater, MN 55082-4955

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