NPI | 1699816272 |
---|---|
Doing Business As | PREMIER MEDICAL ASSOCIATES - INTEGRITY DRIVE |
Entity Type | Organization |
Authorized Contact | KENNY HEINE VP Of Operations 858-625-2990 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: PA OS006063E) |
Enumeration Date | 2007-02-08 |
Last Update Date | 2015-03-20 |