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Organization
PREMIER INFECTIOUS DISEASE ASSOC. P.A.
Active
Organization
PREMIER INFECTIOUS DISEASE ASSOC. P.A.
Active
Other names
Premier ID Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PADMA KUMASHI (PRESIDENT)
(281) 587-8777
Entity
Organization
Contact information
Practice address
800 PEAKWOOD DR STE 3A, HOUSTON, TX 77090-2913
(281) 587-8777
(281) 587-2577
Mailing address
PO BOX 11230, SPRING, TX 77391-1230
(832) 316-4720
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
27055
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5901005
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/13/2010
Last updated
09/13/2010
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