Super D Drug Acquisition Co.

NPI #1528064367 in Prescott, Arkansas

Provider Information

NPI Number: 1528064367
Entity Type: Organization
Organization Name: Super D Drug Acquisition Co.
Primary Specialty: Pharmacy
Enumeration Date: Jun 27, 2005
Last Updated: Nov 12, 2009

Practice Location

Address: 1430 W 1ST ST N
City: Prescott
State: Arkansas
ZIP Code: 71857-3339
Phone: (870) 887-2717

Authorized Official

Name: MR. GARY M. BOONE
Title: DIRECTOR OF HME OPERATIONS
Phone: (479) 394-6363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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