Premiere Healthcare LLC

NPI #1811284060 in Doniphan, Missouri

Provider Information

NPI Number: 1811284060
Entity Type: Organization
Organization Name: Premiere Healthcare LLC
Primary Specialty: Pharmacy
Enumeration Date: Jul 7, 2011
Last Updated: Jul 7, 2011

Practice Location

Address: 513B N GRAND AVE
City: Doniphan
State: Missouri
ZIP Code: 63935-1405
Phone: (573) 996-3784

Authorized Official

Name: DR. PHILLIP K WILKINS SR., PHARM D.
Title: OWNER/PHARMACIST
Phone: (573) 996-3784

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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