Organization
PREMIER PHARMACY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL GAUSE (PRESIDENT)
(330) 893-0290
Entity
Organization
Contact information
Practice address
2105 GLEN DR, MILLERSBURG, OH 44654-8905
(234) 301-9166
(234) 301-9187
Mailing address
PO BOX 78, BERLIN, OH 44610-0078
(330) 893-0290
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0436163
—
OH
Enumeration date
03/10/2021
Last updated
10/08/2021
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