Organization
SUPERIOR PHARMACY OF TEMPLE TERRACE LLC
Active
Parent organization
SUPERIOR PHARMACY OF TEMPLE TERRACE LLC
Other names
Temple Terrace Pharmacy LTC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUPERIOR PHARMACY OF TEMPLE TERRACE LLC
Authorized official
YVONNE OKEKE (PHARMACY MANAGER)
(813) 989-1351
Entity
Organization
Contact information
Practice address
9780 N 56TH ST STE D, TEMPLE TERRACE, FL 33617-5508
(813) 989-1351
(813) 988-4795
Mailing address
9780 N 56TH ST STE D, TEMPLE TERRACE, FL 33617-5508
(813) 989-1351
(813) 988-4795
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021697100
—
FL
Enumeration date
11/09/2021
Last updated
11/09/2021
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