Organization
SUPER DISCOUNT PHARMACY
Active
Organization
SUPER DISCOUNT PHARMACY
Active
Other names
SUPER DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOE MOORE CPHT (OWNER)
(423) 472-2121
Entity
Organization
Contact information
Practice address
2010 SPRING PLACE RD SE, CLEVELAND, TN 37323-3337
(423) 472-2121
(423) 472-2169
Mailing address
PO BOX 3240, CLEVELAND, TN 37320-3240
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
0000000248
TN
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3567483
—
TN
01
—
4417312
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/14/2006
Last updated
09/11/2025
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