NPI | 1295054716 |
---|---|
Doing Business As | SUPERIOR CARE PHARMACY |
Entity Type | Organization |
Authorized Contact | DEREK M ISHAQUE CFO 619-785-3993 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: CA PHY 50311) |
Additional Taxonomies | 333600000X Pharmacy (Licence: CA PHY 50311) |
3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY 50311) | |
Enumeration Date | 2010-05-24 |
Last Update Date | 2016-02-09 |