| NPI | 1295818821 |
|---|---|
| Doing Business As | SUPER D EXPRESS RX |
| Entity Type | Organization |
| Authorized Contact | JOYCE STROM Retail Support 501-296-3312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 03154012) |
| 333600000X Pharmacy (Licence: MS 03154/01.2) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-11-16 |