Super D Drugs Acquisition Co.
NPI #1962549709 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1962549709
- Entity Type
- Organization
- Organization Name
- Super D Drugs Acquisition Co.
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jan 31, 2007
- Last Updated
- Jan 9, 2010
Practice Location
- Address
- 1465 N WESTWOOD BLVD
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-3315
- Phone
- (573) 686-1461
Authorized Official
- Name
- GARY BOONE
- Title
- DIRECTOR OF HME OPERATIONS
- Phone
- (479) 394-6363
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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