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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
225 E PACIFIC ST, SPRINGFIELD, MO 65803-2832
(417) 831-2825
(417) 831-5135
Mailing address
2100 BROOKWOOD DR, LITTLE ROCK, AR 72202-1734

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
6317
MO
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2602337
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
10/23/2006
Last updated
09/11/2025
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