Whalio Doctors

NPI 1245313659

Super D Drugs Acquisition Co

Organisation Community/Retail Pharmacy Horn Lake, MS

Practice location

Address
6396 Highway 51 N, Horn Lake, MS 38637-2411
Phone
(662) 342-1550
Fax
(662) 342-2094
Mailing address
2100 Brookwood Dr, Little Rock, AR 72202-1734

Authorised official

Name
Joyce Strom
Title
Retail Support
Phone
(501) 296-3312

Registered specialties (4)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X Licence 02075012 (MS)
Pharmacy
Suppliers Taxonomy 333600000X Licence 02075/01.2 (MS)
Long Term Care Pharmacy
Suppliers Taxonomy 3336L0003X

Registry record

NPI
1245313659
Entity type
Organization
NPI issued
23 Oct 2006
Record last updated
16 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.