Provider Demographics
NPI:1669825303
Name:S&A SUPERDRUGS INC
Entity Type:Organization
Organization Name:S&A SUPERDRUGS INC
Other - Org Name:SUPERDRUGS II RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHAMMED
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:718-949-2122
Mailing Address - Street 1:13810 FARMERS BLVD
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11434-4732
Mailing Address - Country:US
Mailing Address - Phone:718-949-2122
Mailing Address - Fax:718-949-2134
Practice Address - Street 1:13810 FARMERS BLVD
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11434-4732
Practice Address - Country:US
Practice Address - Phone:718-949-2122
Practice Address - Fax:718-949-2134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-18
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy