Organization
PRIME PHARMACY SERVICES, LLC
Active
Other names
Prime Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ERBLAT R.PH. (PRESIDENT)
(941) 378-2607
Entity
Organization
Contact information
Practice address
1861 BANKS RD, MARGATE, FL 33063-7707
(941) 378-2607
(941) 378-2699
Mailing address
2427 PORTER LAKE DR, SUITE 109, SARASOTA, FL 34240-8853
(941) 378-2607
(941) 378-2699
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PH22704
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032079000
—
FL
Enumeration date
05/18/2007
Last updated
08/16/2012
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