| NPI | 1356478812 |
|---|---|
| Doing Business As | SUPERVALUE PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | PETER M PERVAZ Manager 718-881-2260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 023460) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2008-05-29 |