Superior Pharmacy
Pharmacist in Flushing, NY. Organization (NPI-2).
NPI number1619028362
StatusActive
Last updated in NPPESJul 30, 2008
Details
- NPI
- 1619028362
- Entity type
- Organization (NPI-2)
- Legal business name
- Superior Pharmacy
- Organization subpart
- No
- Enumeration date
- Jan 16, 2007
- Last updated
- Jul 30, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 040959 | NY | Yes |
Other names
- Superior Pharmacy (Doing Business As)
Practice location
6010a Kissena BlvdFlushing, NY 11355
Phone 718-445-8450 · Fax 718-445-8450
Mailing address
6010a Kissena BlvdFlushing, NY 11355
Phone 718-445-8450 · Fax 718-445-8450
Authorized official
Faramarz Fred Latai
President
7184458450
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