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Organization

PREMIER PHARMACY LLC

Active
Other names
Premier Pharmacy LLC
Organization subpart
No

Provider details

NPI number
Authorized official
CRAIG CAMP (PHARMACY MANAGER)
(586) 741-4850
Entity
Organization

Contact information

Practice address
34025 HARPER AVE, CLINTON TOWNSHIP, MI 48035-3737
(586) 741-4850
(586) 741-4854
Mailing address
34025 HARPER AVE, CLINTON TOWNSHIP, MI 48035-3737
(586) 741-4850
(586) 741-4854

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
5301009648
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2131927
PK
Enumeration date
09/07/2011
Last updated
08/06/2015
About Stedi
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Product
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  • Eligibility checks
  • EDI platform