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Super D Drugs Acquisition Co.
Long Term Care Pharmacy in Gideon, Missouri
NPI 1700931458

Super D Drugs Acquisition Co. is a Long Term Care Pharmacy based in Mena, MO and is specialized in Long Term Care Pharmacy. Super D Drugs Acquisition Co. practices in Gideon, MO. The NPI Number for Super D Drugs Acquisition Co. is 1700931458 and holds a License No. (Missouri).

The current practice location address for Super D Drugs Acquisition Co. is 100 Main St, Gideon, MO and can be reached out via phone at 573-448-5552 and via fax at 573-448-3764.

Location: 100 Main St, Gideon, MO, 71953-4367
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700931458
Provider Name
Super D Drugs Acquisition Co.
Credential
Provider Entity Type
Organization
Address
100 Main St, Gideon, MO, 71953-4367
Phone Number
573-448-5552
Fax Number
573-448-3764
Provider Enumeration Date
01/24/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2626313 01 NCPDP PROVIDER IDENTIFICATION NUMBER
602745408 05 MO
622745404 05 MO
institution
Provider Business Practice Location Address Details
Address
100 Main St
City
Gideon
State
Missouri
Zip
63848
Phone Number
573-448-5552
Fax Number
573-448-3764
person
Provider Business Mailing Address Details
Address
100 Main St
City
Gideon
State
Missouri
Zip
63848
Phone Number
573-448-5552
Fax Number
573-448-3764
person
Provider's Taxonomy Details 1
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 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
005086 (Missouri)
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 3
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
()
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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