Organization
SUPERIOR PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IKE OKEKE RPH (OWNER)
(813) 874-2848
Entity
Organization
Contact information
Practice address
3031 W CYPRESS ST, SUITE B, TAMPA, FL 33609-1647
(813) 874-2848
(813) 874-0709
Mailing address
3031 W CYPRESS ST, SUITE B, TAMPA, FL 33609-1647
(813) 874-2848
(813) 874-0709
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH21333
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028276601
—
FL
Enumeration date
05/31/2007
Last updated
06/25/2008
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