Sims Drug

LBN: Super D Drugs Acquisition Co
Sims Drug is an health care organization with primary practice located at 124 W Stephenson Ave , Harrison AR 72601-4224. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Super D Drugs Acquisition Co can be contacted via phone (870) 741-2361, or through Boone, Gary M. via phone (479) 394-6363.

Contact Information

Primary practice address
124 W Stephenson Ave Harrison AR 72601-4224
Phone: (870) 741-2361
Fax: (870) 741-9747
Website:
Map and Directions
Authorized official contact:
Name: Boone, Gary M.
Phone: (479) 394-6363

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X AR19021 Arkansas

Profile Details

NPI number 1962553941
LBN Legal business name Super D Drugs Acquisition Co
DBA Doing business as Sims Drug
Authorized official Boone, Gary M.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Nov 21st, 2008 - about 16 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 1962553941 NPPES
Arkansas MEDICAID 127265407
Arkansas Other 0419021

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