340B Drug Pricing Program Database
SUPERVALU PHARMACIES INC - information as of 4/30/2025 11:36:19 PM
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Name
SUPERVALU PHARMACIES INC
Address
DBA CUB PHARMACY #1598/682
12595 CENTRAL AVE NE
BLAINE, MN 55434
Comments
Contracts
History
Contracts
Contract Detail
340B ID
Entity Name
Sub Name
Entity Type
Address
Address Cont.
City
State
Begin Date
Term Date
Edit Date
Details
FQHCLA262
UNIVERSAL MEDICAL SERVICES, INC.
AXIS MEDICAL CENTER
Health Center Program Look-Alike
1801 NICOLLET AVENUE
FLOOR 1
MINNEAPOLIS
MN
04/01/2019
04/01/2020
5/6/2020 5:12 PM
History
Section
Field
Action
Activity
Value Before
Value After
Timestamp
Details
Comments
Insert
3/28/2013 4:19 PM
Details
Is Deleted
Insert
False
3/28/2013 4:19 PM
Addresses
Pharmacy Address
Insert
SUPERVALU PHARMACIES INC DBA CUB PHARMACY #1598/682 12595 CENTRAL AVE NE BLAINE, MN 55434
3/28/2013 4:19 PM
Details
Name
Insert
SUPERVALU PHARMACIES INC
3/28/2013 4:19 PM
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