SUPER D DRUG ACQUISITION CO., INC.

Specialty Pharmacy · OXFORD, MS

Organization Active NPI 1881629780

Taxonomy & licensure

Specialty	Code	Primary	License	State
Specialty Pharmacy	3336S0011X	✓	04340/02.1	MS
Durable Medical Equipment & Medical Supplies	332B00000X		04340/02.1	MS
Customized Equipment (DME)	332BC3200X		04340/02.1	MS
Parenteral & Enteral Nutrition Supplies (DME)	332BP3500X		04340/02.1	MS
Oxygen Equipment & Supplies (DME)	332BX2000X		04340/02.1	MS
Pharmacy	333600000X		04340/02.1	MS
Community/Retail Pharmacy	3336C0003X		04340/02.1	MS
Home Infusion Therapy Pharmacy	3336H0001X		04340/02.1	MS
Long Term Care Pharmacy	3336L0003X		04340/02.1	MS
Mail Order Pharmacy	3336M0002X		04340/02.1	MS

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.