| Organization Name: | SUPERIOR CARE PHARMACY, INC. |
| NPI Number: | 1053415216 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSAN COLBERT (SR DIRECTOR, PAYER RELATIONS) |
| Mailing Address: | 595 Bluff St Ste 3 St. George |
| State: | UT US |
| Postal Code: | 84770 |
| Phone Number: | 4356523999 |
| Fax Number: | |
| NPI Enumeration Date: | 09/11/2006 |
| NPI Last Update Date: | 11/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | 3451471703 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | UT |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |