| NPI | 1316962962 |
|---|---|
| Doing Business As | SUPER FRESH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SUSAN KIJOWSKI Pharmacy Specialist 201-571-8326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MD P02062) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD P02062) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-11-22 |