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Super D Drug Acquisition Co.
Community/Retail Pharmacy in Little Rock, Arkansas
NPI 1275616682

Super D Drug Acquisition Co. is a Community/Retail Pharmacy based in Little Rock, AR and is specialized in Community/Retail Pharmacy. Super D Drug Acquisition Co. practices in Little Rock, AR. The NPI Number for Super D Drug Acquisition Co. is 1275616682 and holds a License No. AR20066 (Arkansas).

The current practice location address for Super D Drug Acquisition Co. is 4010 W 12Th St, Little Rock, AR and can be reached out via phone at 501-663-9497 and via fax at 501-664-5019.

Location: 4010 W 12Th St, Little Rock, AR, 72202-1734
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275616682
Provider Name
Super D Drug Acquisition Co.
Credential
Provider Entity Type
Organization
Address
4010 W 12Th St, Little Rock, AR, 72202-1734
Phone Number
501-663-9497
Fax Number
501-664-5019
Provider Enumeration Date
10/23/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10615 01 AR MEDICARE FLU
135607716 01 AR MEDICAID DME
0401048 01 OTHER ID NUMBER-COMMERCIAL NUMBER
133660407 05 AR
institution
Provider Business Practice Location Address Details
Address
4010 W 12Th St
City
Little Rock
State
Arkansas
Zip
72204-2047
Phone Number
501-663-9497
Fax Number
501-664-5019
person
Provider Business Mailing Address Details
Address
4010 W 12Th St
City
Little Rock
State
Arkansas
Zip
72204-2047
Phone Number
501-663-9497
Fax Number
501-664-5019
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.
AR20066 (Arkansas)
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.
AR20066 (Arkansas)
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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