Norrids City Drug

LBN: Super D Drugs Acquisition Co.
Norrids City Drug is an health care organization with primary practice located at 906 N Douglass St , Malden MO 63863-1514. 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 (573) 276-2737, or through Boone, Gary via phone (479) 394-6363.

Contact Information

Primary practice address
906 N Douglass St Malden MO 63863-1514
Phone: (573) 276-2737
Fax: (573) 276-2496
Website:
Map and Directions
Authorized official contact:
Name: Boone, Gary
Phone: (479) 394-6363

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PS004290 Missouri
Suppliers / Community/Retail Pharmacy 3336C0003X 4290 Missouri

Profile Details

NPI number 1568463107
LBN Legal business name Super D Drugs Acquisition Co.
DBA Doing business as Norrids City Drug
Authorized official Boone, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2005
Last updated Mar 16th, 2010 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568463107 NPPES
Missouri MEDICAID 600096408

Popular Providers