Super D Drugs Acquisition Co
Pharmacy, Community/Retail Pharmacy in Harrison, AR. Organization (NPI-2).
NPI number1962553941
StatusActive
Last updated in NPPESNov 21, 2008
Details
- NPI
- 1962553941
- Entity type
- Organization (NPI-2)
- Legal business name
- Super D Drugs Acquisition Co
- Organization subpart
- No
- Enumeration date
- Jan 16, 2007
- Last updated
- Nov 21, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | AR19021 | AR | Yes |
Other names
- Sims Drug (Doing Business As)
Practice location
124 W Stephenson AveHarrison, AR 72601-4224
Phone 870-741-2361 · Fax 870-741-9747
Mailing address
USA Drug Lockbox 14226Chicago, IL 60693-0001
Authorized official
Gary M. Boone
Director Of Hme Operations
4793946363
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