Provider Demographics
NPI:1932830445
Name:PREMIER RX PHARMACY LLC
Entity Type:Organization
Organization Name:PREMIER RX PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMMAR
Authorized Official - Middle Name:N
Authorized Official - Last Name:ALMAWRI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD, RPH
Authorized Official - Phone:313-977-1567
Mailing Address - Street 1:4298 CORUNNA RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-4315
Mailing Address - Country:US
Mailing Address - Phone:810-202-4947
Mailing Address - Fax:810-202-4948
Practice Address - Street 1:4298 CORUNNA RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-4315
Practice Address - Country:US
Practice Address - Phone:810-202-4947
Practice Address - Fax:810-202-4948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-23
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy