<Unavail>

LBN: Super D Drugs Acquisition Co
<Unavail> is an health care organization with primary practice located at 516 Nakoma Dr , Jackson MS 39206-3332. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Super D Drugs Acquisition Co can be contacted via phone (601) 366-0307, or through Strom, Joyce via phone (501) 296-3312.

Contact Information

Primary practice address
516 Nakoma Dr Jackson MS 39206-3332
Phone: (601) 366-0307
Fax: (601) 366-2532
Website:
Map and Directions
Authorized official contact:
Name: Strom, Joyce
Phone: (501) 296-3312

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 00950/01.2 Mississippi
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1417030032
LBN Legal business name Super D Drugs Acquisition Co
DBA Doing business as <Unavail>
Authorized official Strom, Joyce
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2006
Last updated Sep 11th, 2025 - about last year

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 1417030032 NPPES
Mississippi MEDICAID 00330369
Mississippi MEDICAID 330369
Mississippi Other 2500999

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