Super D Drugs Acquisition Co
NPI #1154404564 in Jackson, Mississippi
Provider Information
- NPI Number
- 1154404564
- Entity Type
- Organization
- Organization Name
- Super D Drugs Acquisition Co
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 23, 2006
- Last Updated
- Nov 19, 2007
Practice Location
- Address
- 2055 RAYMOND RD
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39204-4131
- Phone
- (601) 372-0662
Authorized Official
- Name
- JOYCE STROM
- Title
- RETAIL SUPPORT
- Phone
- (501) 296-3312
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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