Super D Drug Acquisition Co., Inc.
Specialty Pharmacy
1201 Office Park Dr, Suite 2, Oxford
Mississippi, 38655-3598
662-234-7666 662-236-1211
Super D Drug Acquisition Co., Inc. is a Specialty Pharmacy in Oxford, Mississippi. It is located at 1201 Office Park Dr, Suite 2, Oxford and it's customer support contact number is 662-234-7666. The authorized person of Super D Drug Acquisition Co., Inc. is Gary Boone who is President of the pharmacy and his contact number is 662-234-7666. Active license number of Super D Drug Acquisition Co., Inc. is 04340/02.1 for Specialty Pharmacy in Mississippi.
Super D Drug Acquisition Co., Inc. is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
Pharmacy Details:
Super D Drug Acquisition Co., Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Super D Drug Acquisition Co., Inc. |
| Type: | Specialty Pharmacy |
| Location: | 1201 Office Park Dr, Suite 2, Oxford,
Mississippi, 38655-3598 |
| Phone: | 662-234-7666 |
| Fax: | 662-236-1211 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Gary Boone |
| Position: | President |
| Contact Number: | 662-234-7666 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1881629780 |
| NPI Enumeration Date: | 11 Jul, 2006 |
| NPI Last Update On: | 11 Sep, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Super D Drug Acquisition Co., Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Specialty Pharmacy | 04340/02.1 | Mississippi | Primary | |
| Durable Medical Equipment & Medical Supplies | 04340/02.1 | Mississippi | Secondary | |
| Customized Equipment | 04340/02.1 | Mississippi | Secondary | |
| Parenteral & Enteral Nutrition | 04340/02.1 | Mississippi | Secondary | |
| Oxygen Equipment & Supplies | 04340/02.1 | Mississippi | Secondary | |
| Pharmacy | 04340/02.1 | Mississippi | Secondary | |
| Community/Retail Pharmacy | 04340/02.1 | Mississippi | Secondary | |
| Home Infusion Therapy Pharmacy | 04340/02.1 | Mississippi | Secondary | |
| Long Term Care Pharmacy | 04340/02.1 | Mississippi | Secondary | |
| Mail Order Pharmacy | 04340/02.1 | Mississippi | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00330376 | Medicaid | Mississippi | |
| 00040337 | Medicaid | Mississippi | |
| 640870044003 | Other | | Champus/tricare |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 5047,
Meridian, Mississippi |
| Zip: | 39302-5047 |
| Phone Number: | 800-447-4095 |
| Fax Number: | 601-482-7490 |
Patients can reach Super D Drug Acquisition Co., Inc. at
1201 Office Park Dr, Suite 2, Oxford, Mississippi or can
call on customer care at 662-234-7666.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.