Premiere Pharmacy Inc.

NPI #1730598657 in Decatur, Georgia

Provider Information

NPI Number
1730598657
Entity Type
Organization
Organization Name
Premiere Pharmacy Inc.
Primary Specialty
Pharmacist
Enumeration Date
Aug 5, 2014
Last Updated
Aug 5, 2014

Practice Location

Address
4153 FLAT SHOALS PKWY
Address 2
BLDG A SUITE 101
State
Georgia
ZIP Code
30034-4106
Phone
(770) 316-9815

Authorized Official

Name
MR. LEROY BANKS
Title
PHARMACIST
Phone
(770) 316-9815

Specialties & Taxonomy Codes

Specialty
Pharmacist

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