| NPI | 1003182122 |
|---|---|
| Doing Business As | SUPER ONE |
| Entity Type | Organization |
| Authorized Contact | JIM COUSINEAU Sr. VP Pharmacy Ops 903-877-6829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY.006495-RC) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2025-09-19 |