# SUPER SAVER PHARMACY \# 2

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023156106
- **Authorized official:** MRS. CHARLENE MATHURA RPH (PHARMACY MANAGER)
- **Authorized official phone:** (407) 846-0765

## Contact information

- **Practice address:** 200 PARK PLACE BLVD, KISSIMMEE, FL 34741-2344
- **Practice address phone:** (407) 846-0765
- **Mailing address:** 4433 LAKE CALABAY DR, ORLANDO, FL 32837-5468
- **Mailing address phone:** (407) 852-3161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PH21929 | FL | Yes |

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 08/22/2020