Organization
PREMIER PHARMACY AND WELLNESS CENTER
Active
Other names
Premier Pharmacy and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARTEZ LAVARD PRINCE PHARMD (OWNER)
(704) 496-9182
Entity
Organization
Contact information
Practice address
2557 W FRANKLIN BLVD, GASTONIA, NC 28052-1249
(704) 496-9182
(704) 496-9903
Mailing address
3010 MONROE RD, SUITE 101, CHARLOTTE, NC 28205-7532
(704) 496-9182
(704) 496-9903
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
13131
NC
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167029
PK
—
Enumeration date
01/02/2017
Last updated
07/13/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us