Organization
PREMIER PHARMACY SERVICES INC
Active
Other names
Premier Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL GAUSE (PRESIDENT)
(330) 204-6734
Entity
Organization
Contact information
Practice address
4900 OAK ST., BERLIN, OH 44610
(330) 893-0290
(330) 449-9976
Mailing address
PO BOX 78, BERLIN, OH 44610-0078
(330) 204-6734
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
022886200
OH
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177393
PK
—
Enumeration date
04/09/2018
Last updated
07/22/2025
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