Organization
SWAMI NARAYAN PHARMACY INC
Active
Other names
SUPERVALUE PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER M PERVAZ (MANAGER)
(718) 881-2260
Entity
Organization
Contact information
Practice address
3457 BOSTON RD, BRONX, NY 10469-2508
(718) 881-2260
(718) 652-8599
Mailing address
3457 BOSTON RD, BRONX, NY 10469-2508
(718) 881-2260
(718) 652-8599
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
023460
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01764910
—
NY
Enumeration date
02/28/2007
Last updated
05/29/2008
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