# SUPER HEALTH PHARMACY LLC

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

## Provider details

- **NPI number:** 1588239552
- **Authorized official:** DR. MAYANK PARIKH (PRESIDENT)
- **Authorized official phone:** (718) 967-4600

## Contact information

- **Practice address:** 6390 AMBOY RD, STATEN ISLAND, NY 10309-3155
- **Practice address phone:** (718) 967-4600
- **Practice address fax:** (718) 967-4601
- **Mailing address:** 6390 AMBOY RD, STATEN ISLAND, NY 10309-3155
- **Mailing address phone:** (718) 967-4600
- **Mailing address fax:** (718) 967-4601

## Taxonomy

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

## Other

- **Enumeration date:** 05/23/2021
- **Last updated:** 05/28/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 04714256 | — | NY |