| NPI | 1417253055 |
|---|---|
| Doing Business As | PREMIUM FAMILY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RIDDHAM TIBADIYA Owner 912-271-1796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 27457) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-01-30 |
| Last Update Date | 2024-04-17 |