Organization
PRIME PHARMACY SERVICES, LLC
Active
Other names
PRIME PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ERBLAT (PRESIDENT)
(941) 378-9004
Entity
Organization
Contact information
Practice address
2427 PORTER LAKE DR STE 109A, SARASOTA, FL 34240-8853
(941) 378-2607
(941) 378-2699
Mailing address
1861 BANKS RD, STE A, MARGATE, FL 33063-7707
(954) 977-7875
(965) 977-7871
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH23013
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1030129
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/09/2007
Last updated
02/26/2013
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