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Super D Drugs Acquistion Co.
Durable Medical Equipment & Medical Supplies in Tupelo, Mississippi
NPI 1770582009

Super D Drugs Acquistion Co. is a Durable Medical Equipment & Medical Supplies based in Tupelo, MS. Super D Drugs Acquistion Co. practices in Tupelo, MS. The NPI Number for Super D Drugs Acquistion Co. is 1770582009 and holds a License No. 04930/11.1 (Mississippi).

The current practice location address for Super D Drugs Acquistion Co. is 367 N Gloster St, Tupelo, MS and can be reached out via phone at 662-844-4530 and via fax at 662-844-9927.

Location: 367 N Gloster St, Tupelo, MS, 38804-3633
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770582009
Provider Name
Super D Drugs Acquistion Co.
Credential
Provider Entity Type
Organization
Address
367 N Gloster St, Tupelo, MS, 38804-3633
Phone Number
662-844-4530
Fax Number
662-844-9927
Provider Enumeration Date
07/19/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
00440682 01 MS MEDICAID DME
00M4996 01 MS EDI DME
institution
Provider Business Practice Location Address Details
Address
367 N Gloster St
City
Tupelo
State
Mississippi
Zip
38804-3633
Phone Number
662-844-4530
Fax Number
662-844-9927
person
Provider Business Mailing Address Details
Address
367 N Gloster St
City
Tupelo
State
Mississippi
Zip
38804-3633
Phone Number
662-844-4530
Fax Number
662-844-9927
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
04930/11.1 (Mississippi)
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.
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