Organization Name: | 6010 SUPER RX INC |
NPI Number: | 1942553367 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRED LATAI (SP PHARMACIST) |
Mailing Address: | 6010a Kissena Blvd Flushing |
State: | NY US |
Postal Code: | 113555548 |
Phone Number: | 7184458450 |
Fax Number: | 7184458450 |
NPI Enumeration Date: | 10/23/2012 |
NPI Last Update Date: | 09/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | 031740 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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. |