| NPI | 1760799795 |
|---|---|
| Doing Business As | PREMIER ID PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PADMA KUMASHI President 281-587-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: TX 27055) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |