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
Phone: (800) 540-4700
Fax: (800) 540-3400
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588753263 | NPPES |
| Other | 1996051 | PK | |
| MEDICAID | 1053486795 | PK |
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