| NPI | 1164672432 |
|---|---|
| Doing Business As | PREMIUM PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JAMES LAU Supervising Pharmacist 718-484-4628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 029088) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2009-05-20 |