Organization
PREMIUM PHARMACY
Active
Other names
Premium Pharmacy, Farmacia Luis #3
Organization subpart
No
Provider details
NPI number
Authorized official
LUZ M VILLANUEVA (CEO)
(787) 444-4908
Entity
Organization
Contact information
Practice address
10 AVE LAGUNA, LAGUNA GARDEN SHP CTR. #115, CAROLINA, PR 00979-6400
(787) 791-2171
(787) 253-1002
Mailing address
10 AVE LAGUNA, LAGUNA GARDEN SHP CTR. #115, CAROLINA, PR 00979-6400
(787) 791-2065
(787) 253-1002
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135139
PK
—
Enumeration date
01/16/2007
Last updated
05/08/2020
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