Organization · Type 2 NPI

Premier Compounding Pharmacy, Inc.

Long Term Care Pharmacy · Palm Beach Gardens, FL

NPI number 1205377173 Active

Practice location

2000 Pga Blvd., Suite 5507
Palm Beach Gardens, FL 33408

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Long Term Care Pharmacy Primary	3336L0003X	PH23481 (FL)

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Other long term care pharmacy providers in Palm Beach Gardens

See all in Palm Beach Gardens →

NPI record

NPI: 1205377173
Entity type: Organization (Type 2)
Issued: Mar 13, 2017
Last updated: Jun 16, 2018
Status: Active
Subpart: Yes of Premier Compounding Pharmacy, Inc.

Other names

<unavail>
Premier Pharmacy LTC · doing business as
United LTC RX · doing business as

Authorized official

Tracy Christian, RPH, OWNER
President/ceo/owner
(888) 507-8621

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1205377173

Premier Compounding Pharmacy, Inc.'s National Provider Identifier is 1205377173, issued on Mar 13, 2017. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Palm Beach Gardens, FL. The record was last updated on Jun 16, 2018.