Organization
SUPERIOR SOURCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VERNON OLANDUS JORDAN (PRESIDENT)
(501) 568-4785
Entity
Organization
Contact information
Practice address
78 WESTMINISTER DR, LITTLE ROCK, AR 72209-2949
(501) 568-4785
(501) 562-0603
Mailing address
78 WESTMINISTER DR, LITTLE ROCK, AR 72209-2949
(501) 568-4785
(501) 562-0603
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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