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Organization
SUPERIOR PHARMACY
Active
Organization
SUPERIOR PHARMACY
Active
Other names
superior pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FARAMARZ FRED LATAI PHARMACIST (PRESIDENT)
(718) 445-8450
Entity
Organization
Contact information
Practice address
6010A KISSENA BLVD, FLUSHING, NY 11355
(718) 445-8450
(718) 445-8450
Mailing address
6010A KISSENA BLVD, FLUSHING, NY 11355
(718) 445-8450
(718) 445-8450
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
040959
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01613381
—
NY
Enumeration date
01/16/2007
Last updated
07/30/2008
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