Overturf Pharmacy #8432

LBN: Super D Drugs Acquisition Co.
Overturf Pharmacy #8432 is an health care organization with primary practice located at 116 S Walnut St , Bernie MO 63822-9508. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Super D Drugs Acquisition Co. can be contacted via phone (573) 293-5531, or through Cooper, Chad H. via phone (501) 296-3337.

Contact Information

Primary practice address
116 S Walnut St Bernie MO 63822-9508
Phone: (573) 293-5531
Fax: (573) 293-5353
Website:
Map and Directions
Authorized official contact:
Name: Cooper, Chad H.
Phone: (501) 296-3337

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1679554299
LBN Legal business name Super D Drugs Acquisition Co.
DBA Doing business as Overturf Pharmacy #8432
Authorized official Cooper, Chad H.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2005
Last updated Mar 1st, 2012 - about 12 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 1679554299 NPPES
Missouri MEDICAID 620202416
Missouri MEDICAID 1679554299

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