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SUPER D DRUGS ACQUISITION CO NPI 1104909738


NPI Information

NPI: 1104909738
Provider Name: SUPER D DRUGS ACQUISITION CO

Doing Business As: SUPER D EXPRESS RX

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
527 W KEARNEY ST
SPRINGFIELD, MO
ZIP 65803
Phone: (417) 865-5523
Get Directions

SUPER D DRUGS ACQUISITION CO is a pharmacy in Springfield, MO. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. SUPER D DRUGS ACQUISITION CO NPI is 1104909738. The provider is registered as an organization entity type.
The provider Is Doing Business As Super D Express Rx.

The provider's business location address is:

527 W KEARNEY ST
SPRINGFIELD, MO
ZIP 65803-523
Phone: (417) 865-5523
Fax: (417) 865-4459

The provider's authorized official is Joyce Strom .
The authorized official title is Retail Support and has the following contact phone number (501) 296-3312.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy6315MISSOURIYes
23336C0003XPharmacyCommunity/Retail PharmacyX
33336L0003XPharmacyLong Term Care PharmacyX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12615269OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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