Prime Drug Inc

LBN: Prime Drug Inc
Prime Drug Inc is an health care organization with primary practice located at 613 Cranston St , Providence RI 02907-2813. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Prime Drug Inc can be contacted via phone (401) 521-9660, or through Detomasis, Carmine via phone (401) 521-9660.

Contact Information

Primary practice address
613 Cranston St Providence RI 02907-2813
Fax: (401) 861-1177
Website:
Authorized official contact:
Name: Detomasis, Carmine

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHA00075 Rhode Island

Profile Details

NPI number 1679621676
LBN Legal business name Prime Drug Inc
DBA Doing business as
Authorized official Detomasis, Carmine
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated May 30th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679621676 NPPES
Other 4101919 OTHER ID NUMBER
MEDICAID PD02331 OTHER ID NUMBER

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