| NPI | 1609624238 |
|---|---|
| Doing Business As | SUPER MERCADO PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DHAIVANT PATEL Officer 432-682-9501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-05-08 |