Organization · Type 2 NPI

Supervalu Pharmacies Inc

Community/Retail Pharmacy · Plymouth, MN

NPI number 1215042353 Active

Practice location

3550 Vicksburg Ln N
Plymouth, MN 55447-1322

Call (763) 553-2627 Map

Fax (763) 557-9554

Mailing address

PO Box 990
Minneapolis, MN 55440-0990

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	260753 (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 …

4 other providers at this address

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About NPI 1215042353

Supervalu Pharmacies Inc's National Provider Identifier is 1215042353, issued on Aug 20, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Plymouth, MN. The record was last updated on Oct 23, 2026.