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Premium Pharma, LLC

Community/Retail Pharmacy in Boerne, TX · enumerated 2018 · authorized official Dudley Klatt, Vp of Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1578052312

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Premium Pharma, LLC
Other name <Unavail>
Practice address 1 Fm 3351 S Ste 115, Boerne, TX, 78006
Phone (830) 336-2882
Fax (830) 336-2883
Enumeration date May 8, 2018
Last updated in NPPES Nov 15, 2018

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 31977 (TX) Primary

Authorized official

Name Dudley Klatt
Title Vp of Operations
Phone (361) 227-0412

Other identifiers

Identifier Type State Issuer
2177272 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Premium Pharma, LLC?
The NPI for Premium Pharma, LLC is 1578052312, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Premium Pharma, LLC?
NPPES lists Dudley Klatt (Vp of Operations) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-11-15.