Organization
SUPERIOR PHARMACY INC
Active
Other names
Superior Pharmacy II
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARITA KHLGHATYAN (PRESIDENT)
(818) 691-3351
Entity
Organization
Contact information
Practice address
11755 VICTORY BLVD STE 102, NORTH HOLLYWOOD, CA 91606-3448
(818) 691-3351
(818) 691-3371
Mailing address
11755 VICTORY BLVD STE 102, NORTH HOLLYWOOD, CA 91606-3448
(818) 691-3351
(818) 691-3371
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHY49215
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117716
PK
—
Enumeration date
10/21/2008
Last updated
11/16/2016
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