Organization
SUPER DISCOUNT DRUGS LLC
Active
Other names
SUPER DISCOUNT DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY WORLEY DPH (PHARMACIST)
(931) 823-1245
Entity
Organization
Contact information
Practice address
718 W MAIN ST, LIVINGSTON, TN 38570-1720
(931) 823-1245
(931) 823-1324
Mailing address
718 W MAIN ST, LIVINGSTON, TN 38570-1720
(931) 823-1245
(931) 823-1324
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
417
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1450506
—
TN
01
—
2089265
PK
—
Enumeration date
05/24/2005
Last updated
12/30/2014
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