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

Premium Pharma, LLC

Organization Pharmacy · NPI 1578052312

Premium Pharma, LLC is a Pharmacy in Boerne, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2018
Specialties on file
2
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

1 Fm 3351 S Ste 115
Boerne, TX 78006
Phone: (830) 336-2882
Fax: (830) 336-2883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4503 De Zavala Rd Ste 112, San Antonio, TX 78249-2060 — (210) 332-5900

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 31977 (TX)
Pharmacy Taxonomy 333600000X

Record details

NPI number1578052312
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dudley Klatt — Vp Of Operations · (361) 227-0412
Other names The Pharmacy At Bergheim
NPI enumeratedMay 8, 2018
Last updated in NPPESNovember 15, 2018
Mailing address1 Fm 3351 S Ste 115, Boerne, TX 78006-5729

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