| NPI | 1114372448 |
|---|---|
| Doing Business As | PREMIER DRUGSTORE |
| Entity Type | Organization |
| Authorized Contact | BRYAN GREEN PIC/Pharmacist 678-481-0925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE010286) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-04-23 |
| Last Update Date | 2017-04-17 |