# PREMIER FAMILY PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Family Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083002034
- **Authorized official:** BASSEL JOUDEH (PRESIDENT)
- **Authorized official phone:** (708) 952-0000

## Contact information

- **Practice address:** 5600 W 87TH ST STE B, BURBANK, IL 60459-2902
- **Practice address phone:** (708) 952-0000
- **Practice address fax:** (708) 598-0606
- **Mailing address:** 5600 W 87TH ST, SUITE B, BURBANK, IL 60459-2902
- **Mailing address phone:** (708) 952-0000
- **Mailing address fax:** (708) 598-0606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054-018906 | IL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 12/29/2014
- **Last updated:** 01/23/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2149504 | PK | — |