NPI | 1134114879 |
---|---|
Doing Business As | SUPER DISCOUNT PHARMACY |
Entity Type | Organization |
Authorized Contact | YELENA SLYUSARANSKAYA President 818-376-8316 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2005-09-20 |
Last Update Date | 2023-08-30 |