Premier Custom Pharmacy
LBN: Premier Compounding Pharmacy Inc
Premier Custom Pharmacy is an health care organization with primary practice located at 2000 Pga Blvd Ste 5507 Ste 5507, Palm Beach Gardens FL 33408-2726. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty.
Premier Compounding Pharmacy Inc can be contacted via phone (561) 691-4991, or through Christian, Tracy via phone (561) 691-4991.
Contact Information
Primary practice address
2000 Pga Blvd Ste 5507 Ste 5507
Palm Beach Gardens FL 33408-2726
Phone: (561) 691-4991
Fax: (561) 691-4998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | PH23481 | Florida |
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1609032259 |
|---|---|
| LBN Legal business name | Premier Compounding Pharmacy Inc |
| DBA Doing business as | Premier Custom Pharmacy |
| Authorized official | Christian, Tracy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 4th, 2008 |
| Last updated | Jun 16th, 2016 - about 8 years ago |
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 | 1609032259 | NPPES |
| Other | 2116428 | PK | |
| MEDICAID | 002422000 | PK |
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