Provider Demographics
NPI:1710517123
Name:SUPERDRUG PHARMACY 2 INC
Entity Type:Organization
Organization Name:SUPERDRUG PHARMACY 2 INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ENGIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CELIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-939-1490
Mailing Address - Street 1:3227 KENSINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19134-1934
Mailing Address - Country:US
Mailing Address - Phone:215-454-6112
Mailing Address - Fax:
Practice Address - Street 1:3227 KENSINGTON AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-1934
Practice Address - Country:US
Practice Address - Phone:215-454-6112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-24
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy