# SUPER EMACARE PHARMA INC

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

## Provider details

- **NPI number:** 1164374781
- **Authorized official:** PRAVEEN KUMAR CHALLA (PRESIDENT)
- **Authorized official phone:** (215) 278-2797

## Contact information

- **Practice address:** 2941 N 5TH ST, PHILADELPHIA, PA 19133-2802
- **Practice address phone:** (215) 278-2797
- **Practice address fax:** (215) 278-2709
- **Mailing address:** 2941 N 5TH ST, PHILADELPHIA, PA 19133-2802
- **Mailing address phone:** (215) 278-2797
- **Mailing address fax:** (215) 278-2709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/14/2026
- **Last updated:** 02/14/2026