Organization
FREDS OF DONIPHAN INC
Active
Other names
Super Saver Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CLAYTON JAMISON (OWNER,AO)
(573) 996-5220
Entity
Organization
Contact information
Practice address
100 H&S DRIVE, DONIPHAN, MO 63935
(573) 996-5220
(573) 996-3790
Mailing address
PO BOX 337, DONIPHAN, MO 63935-0337
(573) 996-5220
(573) 996-3790
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2018006081
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2173109
PK
—
Enumeration date
11/08/2017
Last updated
07/08/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up