Super D Drugs Acquisition Co in Jackson - Pharmacy
Super D Drugs Acquisition Co - NPI 1417030032
Super D Drugs Acquisition Co is a Pharmacy in Jackson, Mississippi. Super D Drugs Acquisition Co practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Super D Drugs Acquisition Co is 1417030032. The last update date is 2020-08-22.
Super D Drugs Acquisition Co's current location address is 516 Nakoma Dr, Jackson, Mississippi. You can contact this provider via phone number 6013660307 and fax number 6013662532. The mailing address for Super D Drugs Acquisition Co is 516 Nakoma Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Super D Drugs Acquisition Co |
|---|---|
| Address | 516 Nakoma Dr, Jackson, Mississippi |
| Phone Number | 6013660307 |
| Fax Number | 6013662532 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | RETAIL SUP |
|---|---|
| Authorized Official Name | Strom Joyce |
| Telephone Number | 5012963312 |
NPI Number Detail
| NPI Number | 1417030032 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 516 Nakoma Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392063332 |
| Phone Number | 6013660307 |
| Fax Number | 6013662532 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | 00950/01.2 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 330369 | MS | -- | |
| 330369 | MS | -- | |
| 2500999 | OTHER ID NUMBER-COMMERCIAL NUM |
Post Comment/ Review Below
What is the unique identifier code issued to Super D Drugs Acquisition Co by the Centers for Medicare & Medicaid Services?
The Super D Drugs Acquisition Co has been assigned the NPI (National Provider Identifier) 1417030032. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Super D Drugs Acquisition Co's physical address?
The Super D Drugs Acquisition Co is physically located at 516 Nakoma Dr, in the city of Jackson, MS, with the postal code 392063332.
What is Super D Drugs Acquisition Co's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Super D Drugs Acquisition Co is Pharmacy, and the taxonomy code that classifies this field of practice is 333600000X.
On what date did Super D Drugs Acquisition Co receive its 1417030032 assignment from the Centers for Medicare & Medicaid Services?
The Super D Drugs Acquisition Co was assigned its 1417030032 on 2006-10-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Super D Drugs Acquisition Co most recently updated or revised?
The details related to Super D Drugs Acquisition Co, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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