Prime Pharmacy Services Inc

LBN: Prime Pharmacy Services Inc
Prime Pharmacy Services Inc is an health care organization with primary practice located at 4211 Avalon Blvd Ste 2, Los Angeles CA 90011-5622. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Prime Pharmacy Services Inc can be contacted via phone (323) 432-5183, or through Smith, Russell via phone (805) 529-1195.

Contact Information

Primary practice address
4211 Avalon Blvd Ste 2 Los Angeles CA 90011-5622
Fax: (323) 232-9414
Website:
Authorized official contact:
Name: Smith, Russell

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X PHY48954 California

Profile Details

NPI number 1871767749
LBN Legal business name Prime Pharmacy Services Inc
DBA Doing business as Prime Pharmacy Services Inc
Authorized official Smith, Russell
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2008
Last updated Aug 11th, 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 1871767749 NPPES
Other 5630086 NCPDP PROVIDER IDENTIFICATION NUMBER

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