PREMIER COMPOUNDING PHARMACY INC. NPI 1205377173

NPI Information

PREMIER COMPOUNDING PHARMACY, INC. is a long term care pharmacy pharmacy in Palm Beach Gardens, FL. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. PREMIER COMPOUNDING PHARMACY, INC. NPI is 1205377173. The provider is registered as an organization entity type.
The provider Is Doing Business As Premier Pharmacy Ltc.

The provider's business location address is:

2000 PGA BLVD.
SUITE 5507
PALM BEACH GARDENS, FL
ZIP 33408
Phone: (888) 507-8621

The provider's authorized official is Tracy Christian .
The authorized official title is President/ceo/owner and has the following contact phone number (888) 507-8621.

The enumeration date for this NPI number is 3/13/2017 and was last updated on 6/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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