Super D Express Rx

LBN: Super D Drugs Acquisition Co
Super D Express Rx is an health care organization with primary practice located at 527 W Kearney St , Springfield MO 65803-2523. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Super D Drugs Acquisition Co can be contacted via phone (417) 865-5523, or through Strom, Joyce via phone (501) 296-3312.

Contact Information

Primary practice address
527 W Kearney St Springfield MO 65803-2523
Phone: (417) 865-5523
Fax: (417) 865-4459
Website:
Map and Directions
Authorized official contact:
Name: Strom, Joyce
Phone: (501) 296-3312

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 6315 Missouri
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1104909738
LBN Legal business name Super D Drugs Acquisition Co
DBA Doing business as Super D Express Rx
Authorized official Strom, Joyce
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2006
Last updated Aug 22nd, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104909738 NPPES
Other 2615269 OTHER ID NUMBER-COMMERCIAL NUMBER

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