Organization
SUPER D DRUG ACQUISITION CO
Active
Organization
SUPER D DRUG ACQUISITION CO
Active
Other names
Star Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD COOPER (PHARMACY SERVICES COORDINATOR)
(501) 296-3337
Entity
Organization
Contact information
Practice address
916 W KEISER AVE, OSCEOLA, AR 72370-2912
(500) 296-3337
(501) 296-3310
Mailing address
916 W KEISER AVE, OSCEOLA, AR 72370-2912
(501) 296-3337
(501) 296-3310
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR05399
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0405399
NCDPD OR NAPB NUMBER
AR
05
—
100466407
—
AR
05
—
117355716
—
AR
Enumeration date
02/20/2007
Last updated
03/07/2023
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