Super D Drugs #134
LBN: Super D Drug Acquisition Co.
Super D Drugs #134 is an health care organization with primary practice located at 700 W Poplar Ave , Collierville TN 38017-2542. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Super D Drug Acquisition Co. can be contacted via phone (901) 853-2222, or through Boone, Gary M. via phone (479) 394-6363.
Contact Information
Primary practice address
700 W Poplar Ave
Collierville TN 38017-2542
Phone: (901) 853-2222
Fax: (901) 854-6930
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 1921 | Tennessee |
| Suppliers / Pharmacy | 333600000X | 1921 | Tennessee |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1033292446 |
|---|---|
| LBN Legal business name | Super D Drug Acquisition Co. |
| DBA Doing business as | Super D Drugs #134 |
| Authorized official | Boone, Gary M. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Oct 23rd, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033292446 | NPPES |
| Other | 4421549 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| Other | 3914212 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| Other | 00440586 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 9449036 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| Other | 1452333 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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