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Organization
SUPRX PHARMACY INC
Active
Organization
SUPRX PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABA SHAH (PRESIDENT)
(201) 688-9149
Entity
Organization
Contact information
Practice address
1166 CONEY ISLAND AVE, BROOKLYN, NY 11230-2912
(718) 434-0005
(718) 434-0024
Mailing address
1166 CONEY ISLAND AVE, BROOKLYN, NY 11230-2912
(718) 434-0005
(718) 434-0024
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
036620
NY
Other
Enumeration date
05/25/2018
Last updated
05/25/2018
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