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Organization
SUPER STAR PHARMACY INC
Active
Organization
SUPER STAR PHARMACY INC
Active
Other names
Super Star Pharmacy Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
IRFAN NAWAZ (PRESIDENT)
(718) 888-0551
Entity
Organization
Contact information
Practice address
4173B BOWNE ST, FLUSHING, NY 11355-2642
(718) 888-0551
(718) 888-0447
Mailing address
4173B BOWNE ST, FLUSHING, NY 11355-2642
(718) 888-0551
(718) 888-0447
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
031629
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5806712
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/26/2012
Last updated
02/14/2013
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