Supervalue Pharmacy in Eupora - Community/retail Pharmacy
Supervalue Pharmacy - NPI 1700943180
Supervalue Pharmacy is a Community/retail Pharmacy in Eupora, Mississippi. Supervalue Pharmacy practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Supervalue Pharmacy is 1700943180. The last update date is 2007-09-12.
Supervalue Pharmacy's current location address is 210 A Veterans Blvd N, Eupora, Mississippi. You can contact this provider via phone number 6622586710 and fax number 6622585961. The mailing address for Supervalue Pharmacy is 210 A Veterans Blvd N, Eupora, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Supervalue Pharmacy |
|---|---|
| Address | 210 A Veterans Blvd N, Eupora, Mississippi |
| Phone Number | 6622586710 |
| Fax Number | 6622585961 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PIC |
|---|---|
| Authorized Official Name | Bagwell H |
| Credentials | RPH |
| Telephone Number | 6622586710 |
NPI Number Detail
| NPI Number | 1700943180 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2007-09-12 |
Provider Mailing Address Detail
| Address | 210 A Veterans Blvd N |
|---|---|
| City | Eupora |
| State | Mississippi (MS) |
| Post Code | 39744 |
| Phone Number | 6622586710 |
| Fax Number | 6622585961 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 2200012 |
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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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Could you provide the complete address where Supervalue Pharmacy is physically located?
The Supervalue Pharmacy is situated at the following address: 210 A Veterans Blvd N, Eupora, MS 39744.
Could you please share the complete physical location address where Supervalue Pharmacy's facilities are situated?
The facilities of Supervalue Pharmacy are physically located at the following address: 210 A Veterans Blvd N, Eupora, MS, 39744.
What is Supervalue Pharmacy's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Supervalue Pharmacy is Community/retail Pharmacy, and the corresponding taxonomy classification code for this specialized field is 3336C0003X.
On what date was the 1700943180 assigned to Supervalue Pharmacy?
The Supervalue Pharmacy was issued its 1700943180 on 2007-01-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Supervalue Pharmacy receive the assignment of its 1700943180 from the Centers for Medicare & Medicaid Services?
The Supervalue Pharmacy was issued its 1700943180 by the Centers for Medicare & Medicaid Services on 2007-01-03.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC