NPI | 1619028362 |
---|---|
Doing Business As | SUPERIOR PHARMACY |
Entity Type | Organization |
Authorized Contact | FARAMARZ FRED LATAI President 718-445-8450 |
Organization Subpart ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NY 040959) |
Enumeration Date | 2007-01-16 |
Last Update Date | 2008-07-30 |