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General NPI Number Information
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NPI Number | 1205910346
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Entity Type | Organization
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Legal Business Name | SUPER DOCS INC
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4700 HARDY ST
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City | HATTIESBURG
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State | MS
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Zip | 39402-1300
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Country | US
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Telephone | 601-264-5008
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Fax | 601-264-5040
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Provider Business Mailing Address
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Address Line | 2100 BROOKWOOD DR
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City | LITTLE ROCK
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State | AR
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Zip | 72202-1734
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | RETAIL SUPPORT
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Name | JOYCE STROM
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Credential |
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Telephone | 501-296-3312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 2214012
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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