Organization
PREMIER ONE PHARMACY INC.
Active
Other names
Premium Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN CHAN (OWNER)
(718) 886-7128
Entity
Organization
Contact information
Practice address
4112A MAIN ST FL 1, FLUSHING, NY 11355-3348
(718) 886-7128
(718) 886-7138
Mailing address
4112A MAIN ST FL 1, FLUSHING, NY 11355-3348
(718) 886-7128
(718) 886-7138
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6649030001
PTAN
NY
Enumeration date
05/19/2011
Last updated
01/13/2025
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