Organization
PREMIER INFECTIOUS DISEASE ASSOC. P.A.
Active
Other names
Premier ID Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PADMA KUMASHI (PRESIDENT)
(281) 587-8777
Entity
Organization
Contact information
Practice address
800 PEAKWOOD DR STE 3A, HOUSTON, TX 77090-2913
(281) 587-8777
(281) 587-2577
Mailing address
PO BOX 11230, SPRING, TX 77391-1230
(832) 316-4720
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
27055
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5901005
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/13/2010
Last updated
09/13/2010
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