Super V Drugs
LBN: Pats Super V Drug Store Inc
Super V Drugs is an health care organization with primary practice located at 1000 E Matthews Ave Ste A, Jonesboro AR 72401-4307. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Pats Super V Drug Store Inc can be contacted via phone (870) 972-6470, or through Reed, Kristy via phone (870) 972-6470.
Contact Information
Primary practice address
1000 E Matthews Ave Ste A
Jonesboro AR 72401-4307
Phone: (870) 972-6470
Fax: (870) 972-0710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | AR10821 | Arkansas |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1487661583 |
|---|---|
| LBN Legal business name | Pats Super V Drug Store Inc |
| DBA Doing business as | Super V Drugs |
| Authorized official | Reed, Kristy PD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Sep 28th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487661583 | NPPES |
| Arkansas | MEDICAID | 128304716 | |
| Arkansas | MEDICAID | 121246407 | |
| Arkansas | Other | 1994112 |
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