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
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