| NPI | 1013232578 |
|---|---|
| Doing Business As | PREMIUM PHARMACY INC. |
| Entity Type | Organization |
| Authorized Contact | JOHNNY LUO Pharmacy Manager 718-886-7128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 030059) |
| Enumeration Date | 2010-03-28 |
| Last Update Date | 2010-11-10 |