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Organization

PREMIER PHARMACY INC

Active
Other names
Premier Pharmacy, INC
Organization subpart
No

Provider details

NPI number
Authorized official
CLARENCE EDWARD DEAN II (PRESIDENT)
(828) 733-0061
Entity
Organization

Contact information

Practice address
107 ESTATOA AVE, NEWLAND, NC 28657-7832
(828) 733-0061
(828) 733-0027
Mailing address
PO BOX 580, NEWLAND, NC 28657-0580

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
11017
NC
3336C0004X
Compounding Pharmacy
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2129309
PK
Enumeration date
02/17/2011
Last updated
08/04/2016
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