# PRIME HEALTHCARE SERVICES - LANDMARK ,LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRIME HEALTHCARE SERVICES - LANDMARK ,LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1962055004
- **Legal business name:** PRIME HEALTHCARE SERVICES - LANDMARK ,LLC
- **Authorized official:** MR. KWUN HEUN BRIAN LEUNG RPH (PHARMACY SUPERVISOR)
- **Authorized official phone:** (401) 769-4100

## Contact information

- **Practice address:** 115 CASS AVE, WOONSOCKET, RI 02895-4731
- **Practice address phone:** (401) 769-4100
- **Practice address fax:** (401) 767-1636
- **Mailing address:** 115 CASS AVE, OUTPATIENT PHARMACY, WOONSOCKET, RI 02895-4731
- **Mailing address phone:** (401) 769-4100
- **Mailing address fax:** (401) 767-1636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/18/2019
- **Last updated:** 12/23/2019