PREMIER MEDICAL DEVELOPMENT NPI 1780173971

NPI Information

  • NPI: 1780173971
  • Provider Name: PREMIER MEDICAL DEVELOPMENT
  • Classification: Pharmacy - 3336C0002X
  • Specialization: Clinic Pharmacy
  • Entity Type: Organization
  • Doing Business As: PREMIER MD DME
  • Address: 29155 NORTHWESTERN HWY STE 428
    SOUTHFIELD, MI
    ZIP 48034
  • Phone: (877) 220-8411

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NPI Details

PREMIER MEDICAL DEVELOPMENT is a clinic pharmacy pharmacy in Southfield, MI. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. PREMIER MEDICAL DEVELOPMENT NPI is 1780173971. The provider is registered as an organization entity type.
The provider Is Doing Business As Premier Md Dme.

The provider's business location address is:

29155 NORTHWESTERN HWY STE 428
SOUTHFIELD, MI
ZIP 48034-011
Phone: (877) 220-8411

The provider's authorized official is Anzour S Jallouqa .
The authorized official title is Practice Manager and has the following contact phone number (877) 220-8411.

The enumeration date for this NPI number is 5/3/2018 and was last updated on 11/16/2020.

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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0002XPharmacyClinic PharmacyYes

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: 11/21/2025

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