| NPI | 1063437614 |
|---|---|
| Doing Business As | SUPER FRESH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SUSAN KIJOWSKI Pharmacy Specialist 201-571-8326 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: DE A30000686) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: DE A30000686) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-11-18 |