Organization
PREMIER PHARMACY LLC
Active
Other names
Premier Pharmacy, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY FRIZZELL (OWNER/PHARMACIST-IN-CHARGE)
(931) 644-7635
Entity
Organization
Contact information
Practice address
315 N WASHINGTON AVE, SUITE 102, COOKEVILLE, TN 38501-2603
(931) 520-6525
(931) 528-8965
Mailing address
315 N WASHINGTON AVE, SUITE 209, COOKEVILLE, TN 38501-2603
(931) 520-6525
(931) 528-8965
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
4855
TN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4444143
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/04/2011
Last updated
10/24/2011
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