Organization
PREMIUM PHARMACY INC
Active
Other names
Premium Pharmacy Discount
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YUDITH FERNANDEZ (OWNER)
(305) 385-2900
Entity
Organization
Contact information
Practice address
8901 SW 157TH AVE, STE 3, MIAMI, FL 33196-1102
(305) 385-2900
(305) 385-2999
Mailing address
8901 SW 157TH AVE, STE 3, MIAMI, FL 33196-1102
(305) 385-2900
(305) 385-2999
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH23505
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1036854
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/25/2008
Last updated
10/07/2011
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