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Organization
PRIME SPECIALTY PHARMACY LLC
Active
Organization
PRIME SPECIALTY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIBI MIRAKOV (MANAGER)
(929) 568-6633
Entity
Organization
Contact information
Practice address
904 AVENUE U, BROOKLYN, NY 11223-4162
(929) 568-6633
Mailing address
904 AVENUE U, BROOKLYN, NY 11223-4162
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
NULL
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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