Organization
PREMIER RX PHARMACY INC
Active
Other names
PREMIER FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAYAM YAGHOOBIAN PHARM D (PRESIDENT/OWNER)
(310) 606-2121
Entity
Organization
Contact information
Practice address
21150 HAWTHORNE BLVD, STE 106, TORRANCE, CA 90503-4602
(310) 606-2121
(888) 606-2124
Mailing address
21150 HAWTHORNE BLVD, STE 106, TORRANCE, CA 90503-4602
(310) 606-2121
(888) 606-2124
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY55397
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY 55397
STATE BOARD OF PHARMACY PERMIT
CA
Enumeration date
11/23/2016
Last updated
11/23/2016
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