# 6010 SUPER RX INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** superior pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942553367
- **Authorized official:** FRED LATAI (SP PHARMACIST)
- **Authorized official phone:** (718) 445-8450

## Contact information

- **Practice address:** 6010A KISSENA BLVD, FLUSHING, NY 11355-5548
- **Practice address phone:** (718) 445-8450
- **Practice address fax:** (718) 445-8450
- **Mailing address:** 6010A KISSENA BLVD, FLUSHING, NY 11355-5548
- **Mailing address phone:** (718) 445-8450
- **Mailing address fax:** (718) 445-8450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 031740 | NY | Yes |

## Other

- **Enumeration date:** 10/23/2012
- **Last updated:** 09/22/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 03528925 | — | NY |
| 01 | — | 2139023 | PK | — |