Organization
PRIME THERAPEUTICS LLC
Active
Other names
PRIME THERAPEUTICS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LUGINA MENDEZ-HARPER PHARMD (DIRECTOR PROFESSIONAL PRACTICES)
(505) 206-1089
Entity
Organization
Contact information
Practice address
4580 PARADISE BLVD NW, ALBUQUERQUE, NM 87114-4105
(877) 357-7463
(888) 215-1811
Mailing address
PO BOX 27836, ALBUQUERQUE, NM 87125-7836
(877) 357-7463
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
PH00002880
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2059011
PK
—
Enumeration date
11/28/2006
Last updated
01/18/2017
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