| NPI | 1679649180 |
|---|---|
| Doing Business As | SUPER SAVER PHARMACY #3 |
| Entity Type | Organization |
| Authorized Contact | DEVAN MATHURA Managing Member 321-284-4631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 333600000X Pharmacy (Licence: FL PH22086) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2008-01-18 |