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Super D Drugs Acquisition Co.

Community/Retail Pharmacy in Malden, MO · enumerated 2005 · authorized official Gary Boone, Director Hme Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1568463107

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Registry record

Entity type Organization (Type 2)
Legal business name Super D Drugs Acquisition Co.
Other name <Unavail>
Practice address 906 N Douglass St, Malden, MO, 63863
Phone (573) 276-2737
Fax (573) 276-2496
Enumeration date Aug 4, 2005
Last updated in NPPES Mar 16, 2010

Taxonomy & classification

333600000X Pharmacy Suppliers · License PS004290 (MO) Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 4290 (MO) Primary

Authorized official

Name Gary Boone
Title Director Hme Operations
Phone (479) 394-6363

Other identifiers

Identifier Type State Issuer
600096408 Medicaid MO -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-03-16. Verify at npiregistry.cms.hhs.gov.
Where is Super D Drugs Acquisition Co. located?
The practice location on file with NPPES is in Malden, MO.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-03-16.