Organization
PRIMECARE PHARMACY LLC
Active
Organization
PRIMECARE PHARMACY LLC
Active
Parent organization
SMC LYONS HOLDINGS LLC
Other names
PrimeCare Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
SMC LYONS HOLDINGS LLC
Authorized official
LEO LAFRANCO (CFO)
(630) 242-8969
Entity
Organization
Contact information
Practice address
32144 AGOURA RD, SUITE 101, WESTLAKE VILLAGE, CA 91361
(818) 964-1000
(818) 964-1200
Mailing address
32144 AGOURA RD, SUITE 101, WESTLAKE VILLAGE, CA 91361
(818) 964-1000
(818) 964-1200
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407301468
—
CA
Enumeration date
08/19/2016
Last updated
09/24/2024
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