| NPI | 1346680683 |
|---|---|
| Doing Business As | PREMIUM RX SERVICES |
| Entity Type | Organization |
| Authorized Contact | DEREK MOLYNEUX Pharmacy Manager 208-323-1259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2013-09-25 |