| NPI | 1306929922 |
|---|---|
| Doing Business As | SUPER D DRUGS #139 |
| Entity Type | Organization |
| Authorized Contact | CHAD COOPER Director Of Hme Operations 501-296-3337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MS 01918/01.2) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 01918012) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2012-01-26 |