Organization
SUPER D DISCOUNT DRUGS
Active
Organization
SUPER D DISCOUNT DRUGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT EUGENE SHUTT D.PH. (OWNER/PHARMACIST)
(731) 925-4932
Entity
Organization
Contact information
Practice address
855 WAYNE RD, SUITE A-2, SAVANNAH, TN 38372-1527
(731) 925-4932
(731) 926-2240
Mailing address
855 WAYNE RD, SUITE A-2, SAVANNAH, TN 38372-1527
(731) 925-4932
(731) 926-2240
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1428
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4412447
NABP NUMBER
TN
Enumeration date
10/23/2006
Last updated
11/15/2010
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