Super D Drugs Acquisition Co. in Gideon - Community/retail Pharmacy
Super D Drugs Acquisition Co. - NPI 1700931458
Super D Drugs Acquisition Co. is a Community/retail Pharmacy in Gideon, Missouri. Super D Drugs Acquisition Co. practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Super D Drugs Acquisition Co. is 1700931458. The last update date is 2009-12-17.
Super D Drugs Acquisition Co.'s current location address is 100 Main St, Gideon, Missouri. You can contact this provider via phone number 5734485552 and fax number 5734483764. The mailing address for Super D Drugs Acquisition Co. is 100 Main St, Gideon, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Super D Drugs Acquisition Co. |
|---|---|
| Address | 100 Main St, Gideon, Missouri |
| Phone Number | 5734485552 |
| Fax Number | 5734483764 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Boone Gary |
| Telephone Number | 4793946363 |
NPI Number Detail
| NPI Number | 1700931458 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2009-12-17 |
Provider Mailing Address Detail
| Address | 100 Main St |
|---|---|
| City | Gideon |
| State | Missouri (MO) |
| Post Code | 63848 |
| Phone Number | 5734485552 |
| Fax Number | 5734483764 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 5086 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2626313 | NCPDP PROVIDER IDENTIFICATION | ||
| 602745408 | MO | -- | |
| 622745404 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Super D Drugs Acquisition Co. by the Centers for Medicare & Medicaid Services (CMS)?
The Super D Drugs Acquisition Co. has been assigned the NPI (National Provider Identifier) 1700931458. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Super D Drugs Acquisition Co.?
The Super D Drugs Acquisition Co. is physically situated at 100 Main St, in the city of Gideon, state of MO, with the postal code 63848.
What is the Super D Drugs Acquisition Co.'s area of specialization and corresponding taxonomy classification?
The Super D Drugs 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 Super D Drugs Acquisition Co. receive its 1700931458 assignment from the Centers for Medicare & Medicaid Services?
The Super D Drugs Acquisition Co. was assigned its 1700931458 on 2007-01-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Super D Drugs Acquisition Co.'s details last updated?
The information pertaining to the Super D Drugs Acquisition Co., including its address, specialty, and other details, was most recently updated on 2009-12-17.