Organization
SUPER HEALTH PHARMACY LLC
Active
Other names
Super Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYANK PARIKH (PRESIDENT)
(718) 967-4600
Entity
Organization
Contact information
Practice address
6390 AMBOY RD, STATEN ISLAND, NY 10309-3155
(718) 967-4600
(718) 967-4601
Mailing address
6390 AMBOY RD, STATEN ISLAND, NY 10309-3155
(718) 967-4600
(718) 967-4601
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04714256
—
NY
Enumeration date
05/23/2021
Last updated
05/28/2021
About Stedi
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