Organization
24 HOUR PHARMACY RX STORE
Active
Organization
24 HOUR PHARMACY RX STORE
Active
Other names
Premier Pharmacy Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHENG LOR PHARMD (OWNER)
(586) 619-3950
Entity
Organization
Contact information
Practice address
30801 SCHOENHERR RD STE 500, WARREN, MI 48088-6857
(586) 619-3950
(586) 619-3951
Mailing address
30801 SCHOENHERR RD STE 500, WARREN, MI 48088-6857
(586) 619-3950
(586) 619-3951
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009803
MI
3336C0004X
Compounding Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2376449
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/17/2012
Last updated
04/24/2013
Update your record
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