Organization
PREMIER KIDS CARE INC
Active
Other names
PREMIER CARE
Organization subpart
No
Provider details
NPI number
Authorized official
JOY A MCMILLAN RN (PRESIDENT/CEO)
(888) 892-9001
Entity
Organization
Contact information
Practice address
601 N 21ST AVE, HOLLYWOOD, FL 33020-4049
(888) 892-9001
(866) 810-4021
Mailing address
221 PLAZA DR, MONROE, GA 30655-3184
(888) 892-9001
(866) 810-4021
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH21667
FL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031166900
—
FL
01
—
2005691
PK
—
Enumeration date
06/21/2006
Last updated
07/21/2022
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