Super D Drugs Acquisition Co.

NPI #1568463107 in Malden, Missouri

Provider Information

NPI Number
1568463107
Entity Type
Organization
Organization Name
Super D Drugs Acquisition Co.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Aug 4, 2005
Last Updated
Mar 16, 2010

Practice Location

Address
906 N DOUGLASS ST
City
Malden
ZIP Code
63863-1514
Phone
(573) 276-2737

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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