| NPI | 1487784674 |
|---|---|
| Doing Business As | SUPER VALLUE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JAYNE LAUGHBAUM General Manager 817-283-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: TX 16368) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2009-09-29 |