Organization
FAMILY ENTERPRISES INC
Active
Other names
SUPER SAVER DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WENDEL RPH (PRESIDENT)
(573) 686-1919
Entity
Organization
Contact information
Practice address
HWY 53 AND BROADWAY, POPLAR BLUFF, MO 63902
(573) 686-1919
(573) 686-8450
Mailing address
PO BOX 1187, POPLAR BLUFF, MO 63902-1187
(573) 686-1919
(573) 686-8450
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
622198703
—
MO
Enumeration date
06/19/2007
Last updated
12/23/2008
Update your record
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