| NPI | 1649849092 |
|---|---|
| Doing Business As | PREMIUM RX PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WINSTON DENNISTOR Director Of Operations 347-392-3913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2024-02-22 |