NPI | 1760927602 |
---|---|
Doing Business As | PREMIER PHARMACY AND WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | MARTEZ LAVARD PRINCE Owner 704-496-9182 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: NC 13131) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2017-01-02 |
Last Update Date | 2022-07-13 |