NPI | 1003174392 |
---|---|
Doing Business As | SUPERMED PHARMACY |
Entity Type | Organization |
Authorized Contact | IRINA OSPOVAT President 718-209-3434 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 031133) |
Enumeration Date | 2012-04-25 |
Last Update Date | 2012-07-11 |