Super D Express Rx

LBN: Super Docs Inc
Super D Express Rx is an health care organization with primary practice located at 4700 Hardy St , Hattiesburg MS 39402-1300. 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 Docs Inc can be contacted via phone (601) 264-5008, or through Strom, Joyce via phone (501) 296-3312.

Contact Information

Primary practice address
4700 Hardy St Hattiesburg MS 39402-1300
Phone: (601) 264-5008
Fax: (601) 264-5040
Website:
Map and Directions
Authorized official contact:
Name: Strom, Joyce
Phone: (501) 296-3312

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 2214012 Mississippi
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1205910346
LBN Legal business name Super Docs Inc
DBA Doing business as Super D Express Rx
Authorized official Strom, Joyce
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 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 1205910346 NPPES
Mississippi MEDICAID 0030323
Mississippi Other 2516726

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