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Organization
SUPER HEALTH PHARMACY LLC
Active
Organization
SUPER HEALTH PHARMACY LLC
Active
Other names
Super Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MAYANK PARIKH (PHARMACIST)
(718) 967-4600
Entity
Organization
Contact information
Practice address
6390 AMBOY RD, STATEN ISLAND, NY 10309-3155
(718) 967-4600
(718) 967-4601
Mailing address
6390 AMBOY RD, STATEN ISLAND, NY 10309-3155
(718) 967-4600
(718) 967-4601
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
034711
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160487
PK
—
Enumeration date
04/19/2016
Last updated
05/28/2021
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