Superco INC
NPI #1376601492 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1376601492
- Entity Type
- Organization
- Organization Name
- Superco INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 4, 2006
- Last Updated
- Jul 19, 2018
Practice Location
- Address
- 3040A INDIANA AVE
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39180-4355
- Phone
- (601) 636-3374
Authorized Official
- Name
- STOREY JOHN, RPH
- Title
- OWNER
- Phone
- (601) 636-3374
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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