Organization
SUPER D DRUGS ACQUISITION CO
Active
Other names
SUPER D EXPRESS RX
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE STROM (RETAIL SUPPORT)
(501) 296-3312
Entity
Organization
Contact information
Practice address
527 W KEARNEY ST, SPRINGFIELD, MO 65803-2523
(417) 865-5523
(417) 865-4459
Mailing address
2100 BROOKWOOD DR, LITTLE ROCK, AR 72202-1734
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
6315
MO
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2615269
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/24/2006
Last updated
09/11/2025
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