PREMIERE HEALTHCARE LLC NPI 1639466881

NPI Information

  • NPI: 1639466881
  • Provider Name: PREMIERE HEALTHCARE LLC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: MEDICAL CENTER PHARMACY
  • Address: 513B N GRAND AVE
    DONIPHAN, MO
    ZIP 63935
  • Phone: (573) 996-3784

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NPI Details

PREMIERE HEALTHCARE LLC is a pharmacy in Doniphan, MO. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. PREMIERE HEALTHCARE LLC NPI is 1639466881. The provider is registered as an organization entity type.
The provider Is Doing Business As Medical Center Pharmacy.

The provider's business location address is:

513B N GRAND AVE
DONIPHAN, MO
ZIP 63935-405
Phone: (573) 996-3784
Fax: (573) 996-5275

The provider's authorized official is Phillip Keith Wilkins .
The authorized official title is Owner/pharmacist and has the following contact phone number (573) 996-3784.

The enumeration date for this NPI number is 7/7/2011 and was last updated on 7/7/2011.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacy2010023102MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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