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 |