Organization
SUPER D DRUGS ACQUISITION CO.
Active
Other names
Overturf Pharmacy #8432
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD H. COOPER (PHARMACY SERVICES COORDINATOR)
(501) 296-3337
Entity
Organization
Contact information
Practice address
116 S WALNUT ST, BERNIE, MO 63822-9508
(573) 293-5531
(573) 293-5353
Mailing address
2100 BROOKWOOD DR, LITTLE ROCK, AR 72202-1734
(501) 296-3337
(501) 296-3310
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679554299
—
MO
05
—
620202416
—
MO
Enumeration date
11/10/2005
Last updated
03/01/2012
Update your record
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