| NPI | 1255677001 |
|---|---|
| Doing Business As | SUPER DRUGS #2 |
| Entity Type | Organization |
| Authorized Contact | EDDIE O'BANNON Owner 662-449-9075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 11889) |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2012-12-26 |