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
449 S HWY 53, POPLAR BLUFF, MO 63901-7204
(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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
004525
MO
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2050727
PK
—
05
—
602198707
—
MO
Enumeration date
08/18/2006
Last updated
11/05/2014
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