Super Drug
LBN: Midsouth Medical Specialties Llc
Super Drug is an health care organization with primary practice located at 1433 Goodman Rd W , Horn Lake MS 38637. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Midsouth Medical Specialties Llc can be contacted via phone (662) 280-7455, or through Drugs, Super via phone (662) 280-7455.
Contact Information
Primary practice address
1433 Goodman Rd W
Horn Lake MS 38637
Phone: (662) 280-7455
Fax: (662) 280-7457
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1487806121 |
|---|---|
| LBN Legal business name | Midsouth Medical Specialties Llc |
| DBA Doing business as | Super Drug |
| Authorized official | Drugs, Super RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 14th, 2008 |
| Last updated | Jan 8th, 2024 - about 11 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487806121 | NPPES |
| Mississippi | MEDICAID | 02434788 | |
| Mississippi | MEDICAID | 1534074 | |
| Mississippi | Other | 2117404 |
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