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Organization
PREMIER FAMILY PHARMACY INC
Active
Organization
PREMIER FAMILY PHARMACY INC
Active
Other names
Premier Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BASSEL JOUDEH (PRESIDENT)
(708) 952-0000
Entity
Organization
Contact information
Practice address
5600 W 87TH ST STE B, BURBANK, IL 60459-2902
(708) 952-0000
(708) 598-0606
Mailing address
5600 W 87TH ST, SUITE B, BURBANK, IL 60459-2902
(708) 952-0000
(708) 598-0606
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
054-018906
IL
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149504
PK
—
Enumeration date
12/29/2014
Last updated
01/23/2015
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