Super D Drugs Acquisition Co, Inc.
LBN: Super D Drugs Acquisition Co, Inc.
Super D Drugs Acquisition Co, Inc. is an health care organization with primary practice located at 2049 E Shiloh Rd , Corinth MS 38834-3726. 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 / Pharmacy is the primary health care specialty.
Super D Drugs Acquisition Co, Inc. can be contacted via phone (662) 286-6914, or through Crawford, Kermit R via phone (847) 315-3154.
Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 01049/01.1 | Mississippi |
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | 01049/01.1 | Mississippi |
Profile Details
NPI number | 1912171208 |
---|---|
LBN Legal business name | Super D Drugs Acquisition Co, Inc. |
DBA Doing business as | |
Authorized official | Crawford, Kermit R |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Apr 17th, 2008 |
Last updated | Dec 26th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912171208 | NPPES |
Mississippi | Other | 00093009 | MEDICAID PHARMACY |
Mississippi | Other | 2508224 | MEDICAID PHARMACY |
Mississippi | Other | 00045061 | MEDICAID PHARMACY |
Mississippi | Other | 0308160001 | MEDICAID PHARMACY |
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