National Provider Identifier Database

PREMIER MEDICAL DEVELOPMENT
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.


Contact Information

PREMIER MEDICAL DEVELOPMENT
29155 NORTHWESTERN HWY STE 428
SOUTHFIELD, MI48034-1011
Phone: 877-220-8411
Fax:
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for PREMIER MEDICAL DEVELOPMENT

NPI Number 1780173971
Legal business name
LBN
PREMIER MEDICAL DEVELOPMENT
Authorized official ANZOUR JALLOUQA - (PRACTICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 05/03/2018
Last updated 11/16/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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