Supervalue Pharmacy
NPI #1700943180 in Eupora, Mississippi
Provider Information
- NPI Number
- 1700943180
- Entity Type
- Organization
- Organization Name
- Supervalue Pharmacy
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jan 3, 2007
- Last Updated
- Sep 12, 2007
Practice Location
- Address
- 210 A VETERANS BLVD N
- City
- Eupora
- State
- Mississippi
- ZIP Code
- 39744
- Phone
- (662) 258-6710
Authorized Official
- Name
- H BAGWELL, RPH
- Title
- PIC
- Phone
- (662) 258-6710
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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