# SUPERPHARM, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Flag Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205853223
- **Authorized official:** MR. OLEG URIM RPH (PRESIDENT)
- **Authorized official phone:** (781) 599-5900

## Contact information

- **Practice address:** 7 WILLOW ST, LYNN, MA 01901-1206
- **Practice address phone:** (781) 599-5900
- **Practice address fax:** (781) 599-5918
- **Mailing address:** 7 WILLOW ST, LYNN, MA 01901-1206
- **Mailing address phone:** (781) 599-5900
- **Mailing address fax:** (781) 599-5918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 3466 | MA | — |
| 3336C0003X | Community/Retail Pharmacy | 3466 | MA | Yes |

## Other

- **Enumeration date:** 07/16/2006
- **Last updated:** 02/19/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0407763 | — | MA |
| 01 | — | 3466 | STATE LICENSE NUMBER | MA |