Super D Drug Acquisition Co., NPI 1528064367
Pharmacy in Prescott, AR, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1528064367
NPI Entity Type Organization
Provider Name Super D Drug Acquisition Co.
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1430 W 1st St N, Prescott, AR, US
Provider Mailing Address 1430 W 1st St N, Prescott, AR, US, 718573339
Is Sole Proprietor? No
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Organization Official

Official Name MR. Gary M. Boone
Official Position DIRECTOR OF HME OPERATIONS
Phone 479-394-6363

Primary Taxonomy

Taxonomy Code

333600000X

Taxonomy Name Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 65694
License State AR
Description A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Other Organization Name

Holly's Health Mart #23
Doing Business As

Business Address

Super D Drug Acquisition Co.
1430 W 1st St N

Prescott, AR, US

Phone: 870-887-2717
Fax: 870-887-2113

Mailing Address

Super D Drug Acquisition Co.
1430 W 1st St N
Prescott, AR, US
ZIP 718573339
Phone: 870-887-2717
Fax: 870-887-2113

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
165425407 AR MEDICAID 05
0417926 AR PHARMACY 01

Other Providers in AR, US

NPI Name Taxonomy Address

1891181475

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1346866647

LPC Katelynn Young

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MD Ricky L Gable

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Organization

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1467879957

PA-C, EM-CAQ Chelsey Lee Burton

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1821472655

LCSW Shari K Kimball

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1184349557

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1760107122

Leah M Labarba

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1689399040

PHARM D Natalie Denise Underwood

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1396316725

Kennedy Coker

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LCSW Jessica Kennington

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1477278828

Paige N Cromwell

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1831184837

MD Ronald D. Schlabach

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1215664099

Momentum Therapeutic Services

Organization

Professional Counselor

2402 Wildwood Ave Ste 115

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1063137412

Elisha D Cone

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1679221253

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Organization

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1780309120

OTR Delaney Willibey

Individual

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3480 Landers Rd

North Little Rock, AR

1497477814

Vine And Root Llc

Organization

Mental Health Counselor

120 Meghan Ln

Judsonia, AR

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