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Super D Drugs Acquisition Co
Community/Retail Pharmacy in Jackson, Mississippi
NPI 1154404564

Super D Drugs Acquisition Co is a Community/Retail Pharmacy based in Little Rock, MS and is specialized in Community/Retail Pharmacy. Super D Drugs Acquisition Co practices in Jackson, MS. The NPI Number for Super D Drugs Acquisition Co is 1154404564 and holds a License No. 01012012 (Mississippi).

The current practice location address for Super D Drugs Acquisition Co is 2055 Raymond Rd, Jackson, MS and can be reached out via phone at 601-372-0662 and via fax at 601-372-0667.

Location: 2055 Raymond Rd, Jackson, MS, 72202-1734
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154404564
Provider Name
Super D Drugs Acquisition Co
Credential
Provider Entity Type
Organization
Address
2055 Raymond Rd, Jackson, MS, 72202-1734
Phone Number
601-372-0662
Fax Number
601-372-0667
Provider Enumeration Date
10/23/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00440775 01 MS MEDICAID DME
00330373 05 MS
2514114 01 OTHER ID NUMBER-COMMERCIAL NUMBER
330373 05 MS
institution
Provider Business Practice Location Address Details
Address
2055 Raymond Rd
City
Jackson
State
Mississippi
Zip
39204-4131
Phone Number
601-372-0662
Fax Number
601-372-0667
person
Provider Business Mailing Address Details
Address
2055 Raymond Rd
City
Jackson
State
Mississippi
Zip
39204-4131
Phone Number
601-372-0662
Fax Number
601-372-0667
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
01012/01.2 (Mississippi)
Definition
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.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
01012012 (Mississippi)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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