# PRIME PHARMACY CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821571662
- **Authorized official:** DANNY DANG PHARM D (PRESIDENT)
- **Authorized official phone:** (206) 829-4908

## Contact information

- **Practice address:** 64 RAINIER AVE S, RENTON, WA 98057-2047
- **Practice address phone:** (206) 931-3557
- **Practice address fax:** (206) 829-4906
- **Mailing address:** 64 RAINIER AVE S STE H, RENTON, WA 98057-2047
- **Mailing address phone:** (206) 829-4908
- **Mailing address fax:** (206) 829-4906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0004X | Compounding Pharmacy | PH40213 | WA | Yes |
| 3336L0003X | Long Term Care Pharmacy | PH40213 | WA | — |

## Other

- **Enumeration date:** 09/07/2018
- **Last updated:** 06/30/2019