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Organization
PREMIERE PHARMACY INC.
Active
Organization
PREMIERE PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEROY BANKS (PHARMACIST)
(770) 316-9815
Entity
Organization
Contact information
Practice address
4153 FLAT SHOALS PKWY, BLDG A SUITE 101, DECATUR, GA 30034-4106
(770) 316-9815
Mailing address
4153 FLAT SHOALS PKWY, BLDG A SUITE 101, DECATUR, GA 30034-4106
(770) 316-9815
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
GA
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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