Super D Express Rx
LBN: Super D Drugs Acquisition Co
Super D Express Rx is an health care organization with primary practice located at 201 S 28Th Avenue , Hattiesburg MS 39401. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Super D Drugs Acquisition Co can be contacted via phone (601) 261-6150, or through Strom, Joyce via phone (501) 296-3312.
Contact Information
Primary practice address
201 S 28Th Avenue
Hattiesburg MS 39401
Phone: (601) 261-6150
Fax: (601) 261-6154
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 03154012 | Mississippi |
| Suppliers / Pharmacy | 333600000X | 03154/01.2 | Mississippi |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1295818821 |
|---|---|
| LBN Legal business name | Super D Drugs Acquisition Co |
| DBA Doing business as | Super D Express Rx |
| Authorized official | Strom, Joyce |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Nov 16th, 2007 - about 18 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 | 1295818821 | NPPES |
| Mississippi | Other | 3976390 | MEDICAID DME |
| Mississippi | MEDICAID | 00330365 | MEDICAID DME |
| Mississippi | MEDICAID | 330365 | MEDICAID DME |
| Mississippi | Other | 2518415 | MEDICAID DME |
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