| NPI | 1699080622 |
|---|---|
| Doing Business As | SUPREME RX PHARMACY CORP |
| Entity Type | Organization |
| Authorized Contact | TANYA MIZRAHI Pharmacist 718-677-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 030447) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2010-08-14 |
| Last Update Date | 2018-07-19 |