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Super D Drugs Acquisition Co, Inc.
Community/Retail Pharmacy in Corinth, Mississippi
NPI 1912171208

Super D Drugs Acquisition Co, Inc. is a Community/Retail Pharmacy based in Little Rock, MS and is specialized in Community/Retail Pharmacy. Super D Drugs Acquisition Co, Inc. practices in Corinth, MS. The NPI Number for Super D Drugs Acquisition Co, Inc. is 1912171208 and holds a License No. 01049/01.1 (Mississippi).

The current practice location address for Super D Drugs Acquisition Co, Inc. is 2049 E Shiloh Rd, Corinth, MS and can be reached out via phone at 662-286-6914.

Location: 2049 E Shiloh Rd, Corinth, MS, 72202-1734
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912171208
Provider Name
Super D Drugs Acquisition Co, Inc.
Credential
Provider Entity Type
Organization
Address
2049 E Shiloh Rd, Corinth, MS, 72202-1734
Phone Number
662-286-6914
Fax Number
Provider Enumeration Date
04/17/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00093009 01 MS MEDICAID PHARMACY
2508224 01 MS NCPDP
00045061 01 MS DME MEDICAID
0308160001 01 MS MEDICARE
institution
Provider Business Practice Location Address Details
Address
2049 E Shiloh Rd
City
Corinth
State
Mississippi
Zip
38834-3726
Phone Number
662-286-6914
Fax Number
person
Provider Business Mailing Address Details
Address
2049 E Shiloh Rd
City
Corinth
State
Mississippi
Zip
38834-3726
Phone Number
662-286-6914
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
01049/01.1 (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.
person
Provider's Taxonomy Details 2
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 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
01049/01.1 (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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