Organization
SUPER CARE INC
Active
Other names
Super Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN L CASSAR (CEO)
(800) 206-4880
Entity
Organization
Contact information
Practice address
2017 1 2 S. HACIENDA BLVD, HACIENDA HEIGHTS, CA 91745
(626) 330-3448
(626) 333-1251
Mailing address
8345 FIRESTONE BLVD STE 210, DOWNEY, CA 90241-3871
(888) 260-2550
(626) 333-1251
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY 37871
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0524757
NCPDP
CA
01
—
PHY 37871
PHARMACY LICENSE
CA
Enumeration date
02/13/2007
Last updated
02/10/2021
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