Super D Drugs Acquisition Co.

LBN: Super D Drugs Acquisition Co.
Super D Drugs Acquisition Co. is an health care organization with primary practice located at 212 W Main St , Malden MO 63863-2114. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Super D Drugs Acquisition Co. can be contacted via phone (573) 276-2218, or through Boone, Gary via phone (479) 394-6363.

Contact Information

Primary practice address
212 W Main St Malden MO 63863-2114
Phone: (573) 276-2218
Fax: (573) 276-4785
Website:
Map and Directions
Authorized official contact:
Name: Boone, Gary
Phone: (479) 394-6363

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1609857226
LBN Legal business name Super D Drugs Acquisition Co.
DBA Doing business as
Authorized official Boone, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2005
Last updated Feb 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609857226 NPPES
Missouri MEDICAID 620202408

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