| NPI | 1104195163 |
|---|---|
| Doing Business As | PREMIER RX LTC |
| Entity Type | Organization |
| Authorized Contact | ROBERT P FAZZINI Owner, CEO 973-292-1166 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NJ 28RS00714400) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |