Supervalue Pharmacy Valid NPI
Organization · Community/Retail Pharmacy · Eupora, MS
- NPI
- 1700943180
- Type
- Organization (Type 2)
- Primary specialty
- Community/Retail Pharmacy (Pharmacy)
- Specialty group
- Suppliers
- Taxonomy code
- 3336C0003X
- License number
- 02200012 (MS)
- Enumerated
- 2007-01-03
- Last updated
- 2007-09-12
Practice location
210 A Veterans Blvd N
Eupora, MS 39744
(662) 258-6710