Organization
SUPERIOR PHARMACY OF TEMPLE TERRACE LLC
Active
Other names
Temple Terrace Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE OKEKE (OWNER)
(813) 368-4873
Entity
Organization
Contact information
Practice address
9780 N 56TH ST STE D, TEMPLE TERRACE, FL 33617-5508
(813) 989-1351
(813) 988-4795
Mailing address
9780 N 56TH ST STE D, TEMPLE TERRACE, FL 33617-5508
(813) 989-1351
(813) 988-4795
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH20915
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028285500
—
FL
01
—
2145069
PK
—
Enumeration date
11/15/2006
Last updated
12/03/2021
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