Super D Drug Acquisition Co. in Collierville - Community/retail Pharmacy

Super D Drug Acquisition Co. - NPI 1033292446

Super D Drug Acquisition Co. is a Community/retail Pharmacy in Collierville, Tennessee. Super D Drug Acquisition Co. practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Super D Drug Acquisition Co. is 1033292446. The last update date is 2008-10-23.

Super D Drug Acquisition Co.'s current location address is 700 W Poplar Ave, Collierville, Tennessee. You can contact this provider via phone number 9018532222 and fax number 9018546930. The mailing address for Super D Drug Acquisition Co. is 700 W Poplar Ave, Collierville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Super D Drug Acquisition Co.
Address 700 W Poplar Ave, Collierville, Tennessee
Phone Number 9018532222
Fax Number 9018546930
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR O
Authorized Official Name Boone M. Gary
Telephone Number 4793946363

NPI Number Detail

NPI Number 1033292446
Provider Enumeration Date 2006-10-23
Last Updated Date 2008-10-23

Provider Mailing Address Detail

Address 700 W Poplar Ave
City Collierville
State Tennessee (TN)
Post Code 380172542
Phone Number 9018532222
Fax Number 9018546930

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
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 pr

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4421549 OTHER ID NUMBER-COMMERCIAL NUM
3914212 TN MEDICARE FLU
440586 MS MEDICAID DME
9449036 TN --
1452333 TN MEDICAID DME

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FAQs about Super D Drug Acquisition Co.

What is the unique identifier code issued to Super D Drug Acquisition Co. by the Centers for Medicare & Medicaid Services (CMS)?

The Super D Drug Acquisition Co. has been assigned the NPI (National Provider Identifier) 1033292446. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Super D Drug Acquisition Co. is physically located?

The Super D Drug Acquisition Co. is physically situated at the following address: 700 W Poplar Ave, Collierville, TN, 380172542.

What is the Super D Drug Acquisition Co.'s area of specialization and corresponding taxonomy classification?

The Super D Drug Acquisition Co.'s specialty field is Community/retail Pharmacy, and it falls under the taxonomy code 3336C0003X, which categorizes healthcare providers based on their specialties.

On what date did the Super D Drug Acquisition Co. receive its 1033292446 assignment from the Centers for Medicare & Medicaid Services?

The Super D Drug Acquisition Co. was assigned its 1033292446 by the Centers for Medicare & Medicaid Services on 2006-10-23.

As of what date were the details related to Super D Drug Acquisition Co. most recently updated or revised?

The information pertaining to Super D Drug Acquisition Co., including its address, specialty, and other relevant details, was last updated or revised on 2008-10-23.

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