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Super D Drugs Acquisition Co
Long Term Care Pharmacy in Horn Lake, Mississippi
NPI 1245313659

Super D Drugs Acquisition Co is a Long Term Care Pharmacy based in Little Rock, MS and is specialized in Long Term Care Pharmacy. Super D Drugs Acquisition Co practices in Horn Lake, MS. The NPI Number for Super D Drugs Acquisition Co is 1245313659 and holds a License No. 02075012 (Mississippi).

The current practice location address for Super D Drugs Acquisition Co is 6396 Highway 51 N, Horn Lake, MS and can be reached out via phone at 662-342-1550 and via fax at 662-342-2094.

Location: 6396 Highway 51 N, Horn Lake, MS, 72202-1734
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245313659
Provider Name
Super D Drugs Acquisition Co
Credential
Provider Entity Type
Organization
Address
6396 Highway 51 N, Horn Lake, MS, 72202-1734
Phone Number
662-342-1550
Fax Number
662-342-2094
Provider Enumeration Date
10/23/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
330367 05 MS
00440435 01 MS MEDICAID DME
2511841 01 OTHER ID NUMBER-COMMERCIAL NUMBER
4582057 01 TN MEDICAID DME
00330367 05 MS
institution
Provider Business Practice Location Address Details
Address
6396 Highway 51 N
City
Horn Lake
State
Mississippi
Zip
38637-2411
Phone Number
662-342-1550
Fax Number
662-342-2094
person
Provider Business Mailing Address Details
Address
6396 Highway 51 N
City
Horn Lake
State
Mississippi
Zip
38637-2411
Phone Number
662-342-1550
Fax Number
662-342-2094
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.
()
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.
02075/01.2 (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.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
02075012 (Mississippi)
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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