Organization
SUPERIOR PHARMACY OF TEMPLE TERRACE
Active
Other names
superior pharmacy of temple terrace
Organization subpart
No
Provider details
NPI number
Authorized official
IKE OKEKE (PHARMACY MANAGER)
(813) 368-2746
Entity
Organization
Contact information
Practice address
11521 N 56TH ST, TEMPLE TERRACE, FL 33617-2238
(813) 989-1351
(813) 988-4795
Mailing address
11521 N. 56TH ST, TEMPLE TERRACE, FL 33617
(813) 989-1351
(813) 988-4795
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
PH24908
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5702685
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/23/2010
Last updated
11/23/2010
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