| NPI | 1245421890 |
|---|---|
| Doing Business As | SUPER FRESH PHARMACY # 982 |
| Entity Type | Organization |
| Authorized Contact | SUSAN D KIJOWSKI Pharmacy Specialist 201-571-8326 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA PP481751) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-11-09 |