| NPI | 1386351914 |
|---|---|
| Doing Business As | SUPER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | OSAMA SALAH Owner 260-804-8764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2022-12-28 |