Organization · Type 2 NPI

Premier Medical Development

Clinic Pharmacy · Southfield, MI

NPI number 1780173971 Active

Practice location

29155 Northwestern Hwy Ste 428
Southfield, MI 48034-1011

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Clinic Pharmacy Primary	3336C0002X	None listed

Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

Other clinic pharmacy providers in Southfield

United Medical Development LLCClinic Pharmacy Southfield, MI NPI 1689259723

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NPI record

NPI: 1780173971
Entity type: Organization (Type 2)
Issued: May 3, 2018
Last updated: Nov 16, 2020
Status: Active

Other names

<unavail>
Premier MD · doing business as
Premier MD Dme · doing business as
Premier MD Midwest Medical Lab · doing business as

Authorized official

Anzour S Jallouqa
Practice Manager
(877) 220-8411

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.

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About NPI 1780173971

Premier Medical Development's National Provider Identifier is 1780173971, issued on May 3, 2018. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Southfield, MI. The record was last updated on Nov 16, 2020.