Super D Drug Acquisition Co

NPI Provider: 1881699429
Contact Name: Stroud David
Position: V.P. Pharmacy Services
Phone: (501) 296-3311

Super D Drug Acquisition Co Information:

Super D Drug Acquisition Co organization have npi 1881699429, taxonomy code is 332B00000X with license number is 5173 in . This Business address located in 1430 W 1st St N, Prescott, AR 71857 Arkansas.

Practice Location
Address: 1430 W 1st St N, Prescott, AR 71857
Phone: (870) 887-2717

Business Location
Address: 1430 W 1st St N, Prescott, AR 71857
Phone: (870) 887-2717
Fax: (870) 887-2113

Taxonomy

Taxonomy Code: 332B00000X

License Number: 5173

License Number of State: AR

Primary Taxonomy Switch: Y

Enumeration Date: 6/20/2005

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