| NPI | 1639191638 |
|---|---|
| Doing Business As | SUPER-D DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | GERALD BRUCE THOMPSON General Manager 540-345-8342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0201003224) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-08-22 |