| NPI | 1063073039 |
|---|---|
| Doing Business As | PREMISE HEALTH WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | VIRGINIA GARZA Manager 217-709-2364 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2024-06-07 |