Provider Demographics
NPI:1912067752
Name:SUPER BEE DISCOUNT PHARMACY, INC.
Entity type:Organization
Organization Name:SUPER BEE DISCOUNT PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:HUTCHESON
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-442-2592
Mailing Address - Street 1:3225 RAINBOW DR STE 200A
Mailing Address - Street 2:
Mailing Address - City:RAINBOW CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35906-5860
Mailing Address - Country:US
Mailing Address - Phone:256-442-2592
Mailing Address - Fax:256-442-2587
Practice Address - Street 1:3225 RAINBOW DR STE 200A
Practice Address - Street 2:
Practice Address - City:RAINBOW CITY
Practice Address - State:AL
Practice Address - Zip Code:35906-5860
Practice Address - Country:US
Practice Address - Phone:256-442-2592
Practice Address - Fax:256-442-2587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4148332B00000X
AL109340333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL100001093Medicaid
AL0110902OtherNABP
AL100001093Medicaid