Organization
PREMIUM PHARMACY INC
Active
Other names
Premium Pharmacy Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY LUO (PHARMACY MANAGER)
(718) 886-7128
Entity
Organization
Contact information
Practice address
4110A MAIN ST, FLUSHING, NY 11355-3167
(718) 886-7128
(718) 886-7138
Mailing address
4110A MAIN ST, FLUSHING, NY 11355-3167
(718) 886-7128
(718) 886-7138
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
030059
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5800099
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/28/2010
Last updated
11/10/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us