SUPERCO INC
Organization (NPI-2)
Active
Pharmacy, Community/Retail Pharmacy
Provider Information
- NPI Number
1376601492- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3040A INDIANA AVE, VICKSBURG, MS, 391804355
- Phone
- (601) 636-3374
- Fax
- (601) 638-5376
Specialties & Taxonomies
Pharmacy
Pharmacy, Community/Retail Pharmacy
Primary License: MS #01368/1.1