NPI 1700943180
Supervalue Pharmacy
Practice location
- Address
- 210 a Veterans Blvd N, Eupora, MS 39744
- Phone
- (662) 258-6710
- Fax
- (662) 258-5961
Authorised official
- Name
- H Bagwell
- Title
- Pic
- Phone
- (662) 258-6710
Registered specialties (4)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Pharmacy
Compounding Pharmacy
Registry record
- NPI
- 1700943180
- Entity type
- Organization
- NPI issued
- 3 Jan 2007
- Record last updated
- 12 Sep 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.