Organization
PRIME RX LLC
Active
Organization
PRIME RX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAHMOUD H ABDELMAKSOUD (OWNER)
(615) 753-6873
Entity
Organization
Contact information
Practice address
8486 W HILLSBOROUGH AVE, TAMPA, FL 33615-3808
(615) 753-6873
Mailing address
10420 N MCKINLEY DR APT 11209, TAMPA, FL 33612-6450
(615) 753-6873
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/20/2013
Last updated
09/10/2013
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