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Contact Information

SUPER V DRUGS VACCINES
1000-A EAST MATTHEWS AVE.
JONESBORO, AR72401
 Phone: 870-972-6470
 Fax: 870-972-0710
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SUPER V DRUGS VACCINES

NPI # 1245635572
LBN Legal business name SUPER V DRUGS VACCINES
Authorized official KRISTY REED - (OWNER/PHARMACIST)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/29/2014
Last updated 10/29/2014 - About 12 years ago
Identifiers
AR License # AR10821
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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