| NPI | 1104347483 |
|---|---|
| Doing Business As | PREMIUM PHARMACY 2 |
| Entity Type | Organization |
| Authorized Contact | AMANDA SIU President 718-886-7178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 035403) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2024-03-19 |