| NPI | 1205377173 |
|---|---|
| Doing Business As | PREMIER PHARMACY LTC |
| Doing Business As | UNITED LTC RX |
| Entity Type | Organization |
| Authorized Contact | TRACY CHRISTIAN President/CEO/Owner 888-507-8621 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL PH23481) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2018-06-16 |