| NPI | 1114226008 |
|---|---|
| Doing Business As | PREMIUM PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SUSANA JIANG President 917-992-2368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 030790) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2023-12-07 |