| NPI | 1609032259 |
|---|---|
| Doing Business As | PREMIER CUSTOM PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TRACY CHRISTIAN Pres 561-691-4991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: FL PH23481) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2016-06-16 |