Organization · Type 2 NPI

Supervalu Pharmacies Inc

Community/Retail Pharmacy · Blaine, MN

NPI number 1043326457 Active

Practice location

12595 Central Ave NE
Blaine, MN 55434

Fax (763) 767-4553

Mailing address

PO Box 990
Minneapolis, MN 55440-0990

Specialties and licenses

TaxonomyCodeLicense
Pharmacy 333600000XNone listed
Community/Retail Pharmacy Primary 3336C0003X261415 (MN)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

2 other providers at this address

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About NPI 1043326457

Supervalu Pharmacies Inc's National Provider Identifier is 1043326457, issued on Aug 21, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Blaine, MN. The record was last updated on Oct 23, 2026.