Super D Drug Acquisition Co. in Little Rock - Pharmacy
Super D Drug Acquisition Co. - NPI 1275616682
Super D Drug Acquisition Co. is a Pharmacy in Little Rock, Arkansas. Super D Drug Acquisition Co. practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Super D Drug Acquisition Co. is 1275616682. The last update date is 2008-10-22.
Super D Drug Acquisition Co.'s current location address is 4010 W 12th St, Little Rock, Arkansas. You can contact this provider via phone number 5016639497 and fax number 5016645019. The mailing address for Super D Drug Acquisition Co. is 4010 W 12th St, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Super D Drug Acquisition Co. |
|---|---|
| Address | 4010 W 12th St, Little Rock, Arkansas |
| Phone Number | 5016639497 |
| Fax Number | 5016645019 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Boone M. Gary |
| Telephone Number | 4793946363 |
NPI Number Detail
| NPI Number | 1275616682 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2008-10-22 |
Provider Mailing Address Detail
| Address | 4010 W 12th St |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722042047 |
| Phone Number | 5016639497 |
| Fax Number | 5016645019 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | AR20066 |
|
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 presc |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10615 | AR | MEDICARE FLU | |
| 135607716 | AR | MEDICAID DME | |
| 401048 | OTHER ID NUMBER-COMMERCIAL NUM | ||
| 133660407 | AR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Super D Drug Acquisition Co. by the Centers for Medicare & Medicaid Services?
The Super D Drug Acquisition Co. has been assigned the NPI (National Provider Identifier) 1275616682. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Super D Drug Acquisition Co.?
The Super D Drug Acquisition Co. is situated at 4010 W 12Th St, in the city of Little Rock, state of AR, with the zip code 722042047.
What is Super D Drug Acquisition Co.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Super D Drug Acquisition Co. is Pharmacy, and the corresponding taxonomy classification code for this specialized field is 333600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275616682 to Super D Drug Acquisition Co.?
The Super D Drug Acquisition Co. received its 1275616682 assignment from the Centers for Medicare & Medicaid Services on 2006-10-23.
As of what date was the information pertaining to Super D Drug Acquisition Co., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Super D Drug Acquisition Co., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-10-22.