| NPI | 1366443103 |
|---|---|
| Doing Business As | SUPERMARKET PHARMACY AND HEALTH CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | JAIRO DE LA ROSA Vicepresident 310-679-9844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CA PHY46241) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CA PHY46241) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: CA PHY46241) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA PHY46241) | |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2025-09-11 |