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SUPER DISCOUNT PHARMACY NPI 1649296716


NPI Information

NPI: 1649296716
Provider Name: SUPER DISCOUNT PHARMACY

Doing Business As: SUPER DISCOUNT PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
2010 SPRING PLACE RD SE
CLEVELAND, TN
ZIP 37323
Phone: (423) 472-2121
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SUPER DISCOUNT PHARMACY is a pharmacy in Cleveland, TN. 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 DISCOUNT PHARMACY NPI is 1649296716. The provider is registered as an organization entity type.
The provider Is Doing Business As Super Discount Pharmacy.

The provider's business location address is:

2010 SPRING PLACE RD SE
CLEVELAND, TN
ZIP 37323-337
Phone: (423) 472-2121
Fax: (423) 472-2169

The provider's authorized official is Joe Moore .
The authorized official title is Owner and has the following contact phone number (423) 472-2121.

The enumeration date for this NPI number is 7/14/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacy0000000248TENNESSEEYes
23336C0003XPharmacyCommunity/Retail 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14417312OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
23567483MEDICAIDTENNESSEE

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: 5/5/2024

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