Jim Bain'S Pharmacy

LBN: Super D Drugs Acquistion Co.
Jim Bain'S Pharmacy is an health care organization with primary practice located at 367 N Gloster St , Tupelo MS 38804-3633. 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 Acquistion Co. can be contacted via phone (662) 844-4530, or through Stroud, David via phone (501) 296-3311.

Contact Information

Primary practice address
367 N Gloster St Tupelo MS 38804-3633
Phone: (662) 844-4530
Fax: (662) 844-9927
Website:
Map and Directions
Authorized official contact:
Name: Stroud, David RPH
Phone: (501) 296-3311

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 04930/11.1 Mississippi

Profile Details

NPI number 1770582009
LBN Legal business name Super D Drugs Acquistion Co.
DBA Doing business as Jim Bain'S Pharmacy
Authorized official Stroud, David RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2005
Last updated Jul 16th, 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 1770582009 NPPES
Mississippi Other 00440682 MEDICAID DME
Mississippi Other 00M4996 MEDICAID DME

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