Super Saver Pharmacy

LBN: Freds Of Doniphan Inc
Super Saver Pharmacy is an health care organization with primary practice located at 100 H&S Drive , Doniphan MO 63935. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Freds Of Doniphan Inc can be contacted via phone (573) 996-5220, or through Jamison, Clayton via phone (573) 996-5220.

Contact Information

Primary practice address
100 H&S Drive Doniphan MO 63935
Phone: (573) 996-5220
Fax: (573) 996-3790
Website:
Map and Directions
Authorized official contact:
Name: Jamison, Clayton
Phone: (573) 996-5220

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2018006081 Missouri

Profile Details

NPI number 1518470970
LBN Legal business name Freds Of Doniphan Inc
DBA Doing business as Super Saver Pharmacy
Authorized official Jamison, Clayton
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2017
Last updated Jul 8th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518470970 NPPES
Other 2173109 PK

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