# PREMIER PHARMACY SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073198131
- **Authorized official:** JOEL GAUSE (PRESIDENT)
- **Authorized official phone:** (330) 893-0290

## Contact information

- **Practice address:** 2105 GLEN DR, MILLERSBURG, OH 44654-8905
- **Practice address phone:** (234) 301-9166
- **Practice address fax:** (234) 301-9187
- **Mailing address:** PO BOX 78, BERLIN, OH 44610-0078
- **Mailing address phone:** (330) 893-0290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 03/10/2021
- **Last updated:** 10/08/2021