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Organization
SUPER SAVER PHARMACY #3 LLC
Active
Organization
SUPER SAVER PHARMACY #3 LLC
Active
Other names
Super Saver Pharmacy #3
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEVAN MATHURA RPH (MANAGING MEMBER)
(321) 284-4631
Entity
Organization
Contact information
Practice address
1901 SOUTH JOHN YOUNG PARKWAY, SUITE 101, KISSIMMEE, FL 34741
(321) 284-4631
(407) 518-1134
Mailing address
1901 SOUTH JOHN YOUNG PARKWAY, SUITE 101, KISSIMMEE, FL 34741
(321) 284-4631
(407) 518-1134
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
333600000X
Pharmacy
PH22086
FL
Other
Enumeration date
11/27/2006
Last updated
01/18/2008
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