Organization
SUPER D DRUGS ACQUISITION CO
Active
Other names
Usa Drug Express
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID T STROUD RPH (VP PHARMACY SERVICES)
(501) 296-3312
Entity
Organization
Contact information
Practice address
300 EAST 8TH STREET, DANVILLE, AR 72833
(479) 495-5444
(479) 495-5446
Mailing address
2100 BROOKWOOD DR, LITTLE ROCK, AR 72202-1734
(501) 296-3312
(501) 296-3310
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
013338
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0420505
NCPDP
AR
Enumeration date
11/06/2006
Last updated
08/22/2020
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