| NPI | 1215349667 |
|---|---|
| Doing Business As | SUPER DRUGS |
| Entity Type | Organization |
| Authorized Contact | EDDIE O'BANNON Owner 901-262-4317 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2020-07-06 |