Supermarket Investors Inc in Little Rock - Community/retail Pharmacy

Supermarket Investors Inc - NPI 1083762082

Supermarket Investors Inc is a Community/retail Pharmacy in Little Rock, Arkansas. Supermarket Investors Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Supermarket Investors Inc is 1083762082. The last update date is 2007-12-05.

Supermarket Investors Inc's current location address is 10320 Stagecoach Rd, Little Rock, Arkansas. You can contact this provider via phone number 5014558080 and fax number 5014558327. The mailing address for Supermarket Investors Inc is 10320 Stagecoach Rd, Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Supermarket Investors Inc
Address 10320 Stagecoach Rd, Little Rock, Arkansas
Phone Number 5014558080
Fax Number 5014558327
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR O
Authorized Official Name Mccrady Brenda
Credentials BS PHARMAC
Telephone Number 5015700007

NPI Number Detail

NPI Number 1083762082
Provider Enumeration Date 2007-01-08
Last Updated Date 2007-12-05

Provider Mailing Address Detail

Address 10320 Stagecoach Rd
City Little Rock
State Arkansas (AR)
Post Code 722105746
Phone Number 5014558080
Fax Number 5014558327

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
419881 OTHER ID NUMBER-COMMERCIAL NUM

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FAQs about Supermarket Investors Inc

What is the unique identifier code issued to Supermarket Investors Inc by the Centers for Medicare & Medicaid Services?

The Supermarket Investors Inc has been assigned the NPI (National Provider Identifier) 1083762082. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Supermarket Investors Inc is physically located?

The Supermarket Investors Inc is physically situated at the following address: 10320 Stagecoach Rd, Little Rock, AR, 722105746.

What is Supermarket Investors Inc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Supermarket Investors Inc's area of specialization is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 3336C0003X.

On what date did the Centers for Medicare & Medicaid Services issue the 1083762082 to Supermarket Investors Inc?

The Supermarket Investors Inc received its 1083762082 assignment from the Centers for Medicare & Medicaid Services on 2007-01-08.

As of what date were the details related to Supermarket Investors Inc most recently updated or revised?

The information pertaining to Supermarket Investors Inc, including its address, specialty, and other relevant details, was last updated or revised on 2007-12-05.

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