Organization
PRIME RX PHARMACY LLC
Active
Other names
Prime Rx Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA NJIKAM (OWNER/PHARMACIST)
(972) 489-6848
Entity
Organization
Contact information
Practice address
1024 SW 44TH ST STE 700, OKLAHOMA CITY, OK 73109-3618
(405) 632-0519
(405) 632-0503
Mailing address
2033 STERLING TRACE DR, KELLER, TX 76248-9740
(972) 489-6848
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
16948
OK
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150454
PK
—
Enumeration date
02/09/2015
Last updated
03/23/2015
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