| NPI | 1013465236 |
|---|---|
| Former Legal Business Name | PREMIER SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BUFFY GOUGELMANN Pharmacist In Charge 770-622-8901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE010313) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2017-02-21 |