Organization
PREMIER RX REPACKS, LLC
Active
Other names
United LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY CHRISTIAN (PRES/CEO)
(561) 899-4429
Entity
Organization
Contact information
Practice address
2000 PGA BLVD STE 5508, PALM BEACH GARDENS, FL 33408-2726
(561) 899-4429
(855) 367-6979
Mailing address
2000 PGA BLVD STE 5508, PALM BEACH GARDENS, FL 33408-2726
(561) 899-4429
(855) 367-6979
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PH28900
FL
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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