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

Primary practice address
2049 E Shiloh Rd Corinth MS 38834-3726
Fax:
Website:
Authorized official contact:
Name: Crawford, Kermit R

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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