# PREMIER INFECTIOUS DISEASE ASSOC. P.A.

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

## Provider details

- **NPI number:** 1760799795
- **Authorized official:** PADMA KUMASHI (PRESIDENT)
- **Authorized official phone:** (281) 587-8777

## Contact information

- **Practice address:** 800 PEAKWOOD DR STE 3A, HOUSTON, TX 77090-2913
- **Practice address phone:** (281) 587-8777
- **Practice address fax:** (281) 587-2577
- **Mailing address:** PO BOX 11230, SPRING, TX 77391-1230
- **Mailing address phone:** (832) 316-4720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | 27055 | TX | Yes |

## Other

- **Enumeration date:** 09/13/2010
- **Last updated:** 09/13/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5901005 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |