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Organization
6010 SUPER RX INC
Active
Organization
6010 SUPER RX INC
Active
Other names
superior pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
FRED LATAI (SP PHARMACIST)
(718) 445-8450
Entity
Organization
Contact information
Practice address
6010A KISSENA BLVD, FLUSHING, NY 11355-5548
(718) 445-8450
(718) 445-8450
Mailing address
6010A KISSENA BLVD, FLUSHING, NY 11355-5548
(718) 445-8450
(718) 445-8450
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
031740
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03528925
—
NY
01
—
2139023
PK
—
Enumeration date
10/23/2012
Last updated
09/22/2014
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