Organization
PRIME SYNERGY LLC
Active
Other names
Cure aid Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAMESH PATHAK (PHARMACY MANAGER)
(407) 704-6626
Entity
Organization
Contact information
Practice address
7333 LAKE UNDERHILL RD, ORLANDO, FL 32822-6061
(407) 704-6626
(407) 704-6627
Mailing address
7333 LAKE UNDERHILL RD, ORLANDO, FL 32822-6061
(407) 704-6626
(407) 704-6627
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PH25086
FL
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02995300
—
FL
01
—
5702940
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/21/2010
Last updated
05/22/2012
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