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Organization

PREMIUM RX PHARMACY INC

Active
Other names
PREMIUM RX PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
WINSTON DENNISTOR (DIRECTOR OF OPERATIONS)
(347) 392-3913
Entity
Organization

Contact information

Practice address
17801 HILLSIDE AVE, JAMAICA, NY 11432-4624
(347) 392-3913
(347) 905-9897
Mailing address
17801 HILLSIDE AVE, JAMAICA, NY 11432-4624
(347) 392-3913
(347) 905-9897

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
06/21/2021
Last updated
02/22/2024
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