NPI | 1851316400 |
---|---|
Doing Business As | SUPER FRESH PHARMACY |
Entity Type | Organization |
Authorized Contact | SUSAN KIJOWSKI Pharmacy Specialist 201-571-8326 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: MD P02405) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD P02405) |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2006-07-13 |
Last Update Date | 2007-11-22 |