Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premier Specialty Pharmacy LLC

Organization Pharmacy · NPI 1013465236

Premier Specialty Pharmacy LLC is a Pharmacy in Johns Creek, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11720 Medlock Bridge Rd Ste 162
Johns Creek, GA 30097-1513
Phone: (770) 622-8901
Fax: (770) 622-8900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHRE010313 (GA)
Pharmacy Taxonomy 333600000X
Compounding Pharmacy Taxonomy 3336C0004X

Record details

NPI number1013465236
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Buffy Gougelmann — Pharmacist In Charge · (770) 622-8901
Other names Premier Specialty Pharmacy
NPI enumeratedSeptember 16, 2016
Last updated in NPPESFebruary 21, 2017
Mailing address335 Lum Crowe Rd, Roswell, GA 30075-6879

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