SUPER D DRUGS ACQUISITION CO.

Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

SUPER D DRUGS ACQUISITION CO.

100 MAIN ST
GIDEON, MO 63848

Phone: 573-448-5552
Fax: 573-448-3764
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Long Term Care Pharmacy	3336L0003X	58	Medical Supply Company with Pharmacist
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist

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NPI Profile & details for SUPER D DRUGS ACQUISITION CO.

NPI Number 1700931458

LBN Legal business name SUPER D DRUGS ACQUISITION CO.

Authorized official GARY BOONE - (DIRECTOR OF HME OPERATIONS)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/24/2007

Last updated 12/17/2009 - About 16 years ago

Identifiers

MO	License #	005086
MO	Medicaid	602745408
MO	Medicaid	622745404
	Other	2626313	NCPDP PROVIDER IDENTIFICATION NUMBER

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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SUPER D DRUGS ACQUISITION CO.

Contact Information

Specialty

Community/Retail Pharmacy

Long Term Care Pharmacy

Pharmacy

NPI Profile & details for SUPER D DRUGS ACQUISITION CO.

Reviews for SUPER D DRUGS ACQUISITION CO.