<Unavail>
LBN: Super Discount Pharmacy
<Unavail> is an health care organization with primary practice located at 2010 Spring Place Rd Se , Cleveland TN 37323-3337. 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 Discount Pharmacy can be contacted via phone (423) 472-2121, or through Moore, Joe via phone (423) 472-2121.
Contact Information
Primary practice address
2010 Spring Place Rd Se
Cleveland TN 37323-3337
Phone: (423) 472-2121
Fax: (423) 472-2169
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 0000000248 | Tennessee |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1649296716 |
|---|---|
| LBN Legal business name | Super Discount Pharmacy |
| DBA Doing business as | <Unavail> |
| Authorized official | Moore, Joe CPHT |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649296716 | NPPES |
| Tennessee | MEDICAID | 3567483 | |
| Tennessee | Other | 4417312 |
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