Organization Name: | SUPERIOR CARE PHARMACY INC |
NPI Number: | 1295054716 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEREK M ISHAQUE (CFO) |
Mailing Address: | 161 East Main Street Suite 104 La Mesa |
State: | CA US |
Postal Code: | 919421534 |
Phone Number: | 6197853993 |
Fax Number: | 8446372447 |
NPI Enumeration Date: | 05/24/2010 |
NPI Last Update Date: | 02/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | PHY 50311 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |