Organization
SUPERPHARM, INC.
Active
Other names
Flag Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLEG URIM RPH (PRESIDENT)
(781) 599-5900
Entity
Organization
Contact information
Practice address
7 WILLOW ST, LYNN, MA 01901-1206
(781) 599-5900
(781) 599-5918
Mailing address
7 WILLOW ST, LYNN, MA 01901-1206
(781) 599-5900
(781) 599-5918
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
3466
MA
3336C0003X
Community/Retail Pharmacy
Primary
3466
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0407763
—
MA
01
—
3466
STATE LICENSE NUMBER
MA
Enumeration date
07/16/2006
Last updated
02/19/2008
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