Premier Pharmacy Services

LBN: Polaris Specialty Pharmacy, Llc
Premier Pharmacy Services is an health care organization with primary practice located at 410 Cloverleaf Drive , Baldwin Park CA 91706. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Polaris Specialty Pharmacy, Llc can be contacted via phone (800) 540-4700, or through Rombro, David via phone (800) 589-9747.

Contact Information

Primary practice address
410 Cloverleaf Drive Baldwin Park CA 91706
Fax: (800) 540-3400
Website:
Authorized official contact:
Name: Rombro, David

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY53274 California
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1588753263
LBN Legal business name Polaris Specialty Pharmacy, Llc
DBA Doing business as Premier Pharmacy Services
Authorized official Rombro, David
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Aug 16th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588753263 NPPES
Other 1996051 PK
MEDICAID 1053486795 PK

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