Super D Drugs
LBN: Super D Drugs Acquisition Co
Super D Drugs is an health care organization with primary practice located at 6396 Highway 51 N , Horn Lake MS 38637-2411. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Super D Drugs Acquisition Co can be contacted via phone (662) 342-1550, or through Strom, Joyce via phone (501) 296-3312.
Contact Information
Primary practice address
6396 Highway 51 N
Horn Lake MS 38637-2411
Phone: (662) 342-1550
Fax: (662) 342-2094
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 02075012 | Mississippi |
| Suppliers / Pharmacy | 333600000X | 02075/01.2 | Mississippi |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1245313659 |
|---|---|
| LBN Legal business name | Super D Drugs Acquisition Co |
| DBA Doing business as | Super D Drugs |
| Authorized official | Strom, Joyce |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Nov 16th, 2007 - about 17 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 | 1245313659 | NPPES |
| Mississippi | MEDICAID | 330367 | |
| Mississippi | Other | 00440435 | |
| Mississippi | Other | 2511841 | |
| Mississippi | Other | 4582057 | |
| Mississippi | MEDICAID | 00330367 |
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