Provider Demographics
NPI:1700037587
Name:PREMIER PHARMA SERVICES INC
Entity Type:Organization
Organization Name:PREMIER PHARMA SERVICES INC
Other - Org Name:RITE RX CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RENU
Authorized Official - Middle Name:
Authorized Official - Last Name:TANEJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-333-5343
Mailing Address - Street 1:7520 W WATERS AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-1599
Mailing Address - Country:US
Mailing Address - Phone:813-333-5343
Mailing Address - Fax:813-333-5274
Practice Address - Street 1:7520 W WATERS AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-1599
Practice Address - Country:US
Practice Address - Phone:813-333-5343
Practice Address - Fax:813-333-5274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-10
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
FLPH236123336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2117381OtherPK