Organization
DARA FES INC
Active
Other names
SUPERIOR PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MAGGIE LEE (PRESIDENT)
(718) 478-1135
Entity
Organization
Contact information
Practice address
8022 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-6722
(718) 478-1135
(718) 478-5056
Mailing address
8022 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-6722
(718) 478-1135
(718) 478-5056
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
027809
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02720987
—
NY
01
—
2061564
PK
—
Enumeration date
07/30/2006
Last updated
09/08/2021
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