Organization
SUPER RX MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARNOLD A BURK (PRESIDENT)
(479) 495-7700
Entity
Organization
Contact information
Practice address
304 EAST 8TH STREET, DANVILLE, AR 72833-1659
(479) 495-7700
(479) 495-2646
Mailing address
PO BOX 1659, DANVILLE, AR 72833-1659
(479) 495-7700
(479) 495-2646
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MG00461
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47350
BLUE CROSS PROVIDER NUMBE
AR
Enumeration date
07/07/2006
Last updated
08/22/2020
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