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Superco Inc
Community/Retail Pharmacy in Vicksburg, Mississippi
NPI 1376601492

Superco Inc is a Community/Retail Pharmacy based in Vicksburg, MS and is specialized in Community/Retail Pharmacy. Superco Inc practices in Vicksburg, MS. The NPI Number for Superco Inc is 1376601492 and holds a License No. (Mississippi).

The current practice location address for Superco Inc is 3040A Indiana Ave, Vicksburg, MS and can be reached out via phone at 601-636-3374 and via fax at 601-638-5376.

Location: 3040A Indiana Ave, Vicksburg, MS, 39180
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376601492
Provider Name
Superco Inc
Credential
Provider Entity Type
Organization
Address
3040A Indiana Ave, Vicksburg, MS, 39180
Phone Number
601-636-3374
Fax Number
601-638-5376
Provider Enumeration Date
12/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2044424 01 PK
00095419 05 MS
institution
Provider Business Practice Location Address Details
Address
3040A Indiana Ave
City
Vicksburg
State
Mississippi
Zip
39180-4355
Phone Number
601-636-3374
Fax Number
601-638-5376
person
Provider Business Mailing Address Details
Address
3040A Indiana Ave
City
Vicksburg
State
Mississippi
Zip
39180-4355
Phone Number
601-636-3374
Fax Number
601-638-5376
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
01368/1.1 (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 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
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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