Organization
SUPER PHARM INC
Active
Organization
SUPER PHARM INC
Active
Other names
STATE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUIZA MALOYAN (PRESIDENT/OWNER)
(818) 386-8555
Entity
Organization
Contact information
Practice address
15714 1/2 VANOWEN ST, VAN NUYS, CA 91406-5029
(818) 386-8555
(818) 387-6210
Mailing address
15714 1/2 VANOWEN ST, VAN NUYS, CA 91406-5029
(818) 386-8555
(818) 387-6210
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY55554
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56-47423
NCPDP
CA
01
—
PHY55554
BOARD OF PHARMACY PERMIT
CA
Enumeration date
05/02/2013
Last updated
05/04/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up