# PREMIER PHARMACY GROUP LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1558079855
- **Authorized official:** KEVIN CORRESSELL RPH (COO/PHARMACY DIRECTOR)
- **Authorized official phone:** (812) 430-0192

## Contact information

- **Practice address:** 600 CORPORATION DR STE 114, PENDLETON, IN 46064-8300
- **Practice address phone:** (833) 464-9129
- **Mailing address:** 9656 PRAIRIE SMOKE DR, NOBLESVILLE, IN 46060-4307
- **Mailing address phone:** (812) 430-0192

## Taxonomy

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

## Other

- **Enumeration date:** 11/07/2022
- **Last updated:** 11/07/2022