Organization
SUPERIOR PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN JACKSON MD (PRESIDENT)
(773) 619-4102
Entity
Organization
Contact information
Practice address
356 W SUPERIOR ST, CHICAGO, IL 60654-3416
(312) 988-7300
(312) 988-4600
Mailing address
356 W SUPERIOR ST, CHICAGO, IL 60654-3416
(312) 988-7300
(312) 988-4600
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
054-016533
IL
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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