SUPERIOR CARE PHARMACY INC NPI 1295054716

NPI Information

SUPERIOR CARE PHARMACY INC is a long term care pharmacy pharmacy in La Mesa, CA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. SUPERIOR CARE PHARMACY INC NPI is 1295054716. The provider is registered as an organization entity type.
The provider Is Doing Business As Superior Care Pharmacy.

The provider's business location address is:

161 EAST MAIN STREET
SUITE 104
LA MESA, CA
ZIP 91942-534
Phone: (619) 785-3993
Fax: (844) 637-2447

The provider's authorized official is Derek M Ishaque .
The authorized official title is Cfo and has the following contact phone number (619) 785-3993.

The enumeration date for this NPI number is 5/24/2010 and was last updated on 2/9/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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