NPI | 1043562028 |
---|---|
Doing Business As | SUPER SCRIPT PHARMACY |
Entity Type | Organization |
Authorized Contact | LEV ZAVLYANOV Pharmacist/Owner 718-374-3939 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2012-10-15 |
Last Update Date | 2023-12-12 |