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Super D Drugs Acquisition Co.
Community/Retail Pharmacy in Pearl, Mississippi
NPI 1306929922

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 Pearl, MS. The NPI Number for Super D Drugs Acquisition Co. is 1306929922 and holds a License No. 01918012 (Mississippi).

The current practice location address for Super D Drugs Acquisition Co. is 3012 Highway 80 E, Pearl, MS and can be reached out via phone at 601-939-4813 and via fax at 601-939-2749.

Location: 3012 Highway 80 E, Pearl, MS, 72202-1734
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306929922
Provider Name
Super D Drugs Acquisition Co.
Credential
Provider Entity Type
Organization
Address
3012 Highway 80 E, Pearl, MS, 72202-1734
Phone Number
601-939-4813
Fax Number
601-939-2749
Provider Enumeration Date
10/24/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
330375 05 MS
2514506 01 OTHER ID NUMBER-COMMERCIAL NUMBER
870001323 01 MS MEDICARE FLU
00330375 05 MS
00440585 01 MS MEDICAID DME
institution
Provider Business Practice Location Address Details
Address
3012 Highway 80 E
City
Pearl
State
Mississippi
Zip
39208-3497
Phone Number
601-939-4813
Fax Number
601-939-2749
person
Provider Business Mailing Address Details
Address
3012 Highway 80 E
City
Pearl
State
Mississippi
Zip
39208-3497
Phone Number
601-939-4813
Fax Number
601-939-2749
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
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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.
01918/01.2 (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.
01918012 (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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