Organization
SUPERIOR CARE PHARMACY INC
Active
Other names
SUPERIOR CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK ISHAQUE (PRESIDENT/OWNER)
(619) 785-3993
Entity
Organization
Contact information
Practice address
9064 PULSAR CT, SUITE G&H, CORONA, CA 92883-7354
(619) 785-3993
(844) 637-2447
Mailing address
9064 PULSAR CT, SUITE G&H, CORONA, CA 92883-7354
(619) 785-3993
(844) 637-2447
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY53762
CA
3336L0003X
Long Term Care Pharmacy
Primary
PHY53762
CA
Other
Enumeration date
10/07/2015
Last updated
10/08/2015
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