NPI | 1417030826 |
---|---|
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 6317) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2006-10-23 |
Last Update Date | 2020-08-22 |