Premiere Healthcare LLC
Organization Active NPI Pharmacy · Doniphan, MO
NPI 1811284060 · NPPES record last updated Jul 7, 2011
Key facts
- NPI
- 1811284060
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- 2010023102 (MO)
- Legal business name
- PREMIERE HEALTHCARE LLC
- Practice address
- 513B N Grand Ave
Doniphan, MO 63935-1405 - Phone
- (573) 996-3784
- Fax
- (573) 996-5275
- NPI assigned
- Jul 7, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Phillip K Wilkins Sr., PHARM D.
- Title
- Owner/Pharmacist
- Phone
- (573) 996-3784
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 2010023102 | MO | Yes |
Addresses
Primary practice location
513B N Grand Ave
Doniphan, MO 63935-1405
Mailing address
513B N Grand Ave
Doniphan, MO 63935-1405
Phone (573) 996-3784
Other names
- Medical Center Pharmacy
Other providers in Doniphan, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.