| NPI | 1821217910 |
|---|---|
| Doing Business As | PREMIER LONG TERM CARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | THOMAS CANERIS Vice President 502-627-7100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2018-08-16 |