Organization
PREMIER KIDS CARE INC
Active
Other names
Premier Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOY A MCMILLAN (PRESIDENT CEO)
(770) 207-9001
Entity
Organization
Contact information
Practice address
3148 PARK CENTER DR, TYLER, TX 75701-8482
(888) 892-9001
(866) 810-4021
Mailing address
221 PLAZA DR, MONROE, GA 30655-3184
(770) 207-9001
(770) 207-8987
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
24038
TX
3336C0003X
Community/Retail Pharmacy
Primary
24038
TX
3336S0011X
Specialty Pharmacy
24038
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145532
—
TX
Enumeration date
11/10/2006
Last updated
11/29/2022
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