Organization
PREMIUM MED PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMARA AFZAL (MEMBER)
(916) 225-2837
Entity
Organization
Contact information
Practice address
3121 YOSEMITE BLVD STE A2, MODESTO, CA 95354-4167
(209) 222-3029
Mailing address
3121 YOSEMITE BLVD STE A2, MODESTO, CA 95354-4167
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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