NPI | 1649641309 |
---|---|
Doing Business As | SUPERIOR CARE PHARMACY |
Entity Type | Organization |
Authorized Contact | DEREK ISHAQUE President/Owner 619-785-3993 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA PHY53762) |
Additional Taxonomies | 333600000X Pharmacy (Licence: CA PHY53762) |
Enumeration Date | 2015-10-07 |
Last Update Date | 2015-10-08 |