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Organization
PREMIER PHARMACY AND WELLNESS CENTER
Active
Organization
PREMIER PHARMACY AND WELLNESS CENTER
Active
Other names
Premier Pharmacy and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARTEZ LAVARD PRINCE PHARMD (OWNER)
(704) 496-9182
Entity
Organization
Contact information
Practice address
2557 W FRANKLIN BLVD, GASTONIA, NC 28052-1249
(704) 496-9182
(704) 496-9903
Mailing address
3010 MONROE RD, SUITE 101, CHARLOTTE, NC 28205-7532
(704) 496-9182
(704) 496-9903
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
13131
NC
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167029
PK
—
Enumeration date
01/02/2017
Last updated
07/13/2022
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