NPI | 1780173971 |
---|---|
Doing Business As | PREMIER MD DME |
Doing Business As | PREMIER MD |
Doing Business As | PREMIER MD MIDWEST MEDICAL LAB |
Entity Type | Organization |
Authorized Contact | ANZOUR S JALLOUQA Practice Manager 877-220-8411 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2018-05-03 |
Last Update Date | 2020-11-16 |