Super D Drugs Acquisition Co
NPI #1992042964 in Pine Bluff, Arkansas
Provider Information
- NPI Number
- 1992042964
- Entity Type
- Organization
- Organization Name
- Super D Drugs Acquisition Co
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WALGREEN CO
- Primary Specialty
- Pharmacy
- Enumeration Date
- Jan 11, 2013
- Last Updated
- Jan 11, 2013
Practice Location
- Address
- 3022 N MIDLAND DR
- City
- Pine Bluff
- State
- Arkansas
- ZIP Code
- 71603-4829
- Phone
- (217) 709-2386
Authorized Official
- Name
- KERMIT R CRAWFORD
- Title
- PRESIDENT
- Phone
- (847) 315-3154
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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