Organization
SUPERIOR PHARMACY INC
Active
Other names
SUPERIOR PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARITA KHLGHATYAN (SEC)
(818) 640-3237
Entity
Organization
Contact information
Practice address
11755 VICTORY BLVD, STE 100A, NORTH HOLLYWOOD, CA 91606-3423
(818) 980-9888
(818) 980-9881
Mailing address
11755 VICTORY BLVD, STE 100A, NORTH HOLLYWOOD, CA 91606-3423
(818) 980-9888
(818) 980-9881
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY48287
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2111826
PK
—
05
—
5656140
—
CA
Enumeration date
12/04/2006
Last updated
11/09/2015
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