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Organization
SUPER SAVER PHARMACY # 2
Active
Organization
SUPER SAVER PHARMACY # 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLENE MATHURA RPH (PHARMACY MANAGER)
(407) 846-0765
Entity
Organization
Contact information
Practice address
200 PARK PLACE BLVD, KISSIMMEE, FL 34741-2344
(407) 846-0765
Mailing address
4433 LAKE CALABAY DR, ORLANDO, FL 32837-5468
(407) 852-3161
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PH21929
FL
Other
Enumeration date
02/02/2007
Last updated
08/22/2020
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