Super Discount Pharmacy

LBN: Super Discount Pharmacy
Super Discount Pharmacy is an health care organization with primary practice located at 2010 Spring Place Rd Se , Cleveland TN 37323-3337. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Super Discount Pharmacy can be contacted via phone (423) 472-2121, or through Moore, Joe via phone (423) 472-2121.

Contact Information

Primary practice address
2010 Spring Place Rd Se Cleveland TN 37323-3337
Phone: (423) 472-2121
Fax: (423) 472-2169
Website:
Map and Directions
Authorized official contact:
Name: Moore, Joe CPHT
Phone: (423) 472-2121

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 0000000248 Tennessee
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1649296716
LBN Legal business name Super Discount Pharmacy
DBA Doing business as Super Discount Pharmacy
Authorized official Moore, Joe CPHT
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1649296716 NPPES
Tennessee MEDICAID 3567483
Tennessee Other 4417312

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