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General NPI Number Information
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NPI Number | 1225852775
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Entity Type | Organization
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Legal Business Name | SUPERIOR PHARMACY SERVICES, LLC
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 1645 COMMERCE DRIVE
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City | MARQUETTE
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State | MI
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Zip | 49855-4985
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Country | US
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Telephone | 844-906-4571
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Fax | 844-575-4643
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Provider Business Mailing Address
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Address Line | 24 S SEASS DR
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City | GWINN
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State | MI
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Zip | 49841-9067
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DAVID DEMERSE
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Credential |
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Telephone | 906-360-9744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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