| NPI | 1104909738 |
|---|---|
| Doing Business As | SUPER D EXPRESS RX |
| Entity Type | Organization |
| Authorized Contact | JOYCE STROM Retail Support 501-296-3312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MO 6315) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |