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Organization

PRIME THERAPEUTICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES ROERICK (CFO)
(612) 777-4592
Entity
Organization

Contact information

Practice address
1305 CORPORATE CENTER DR, EAGAN, MN 55121-1204
(612) 444-4789
Mailing address
1305 CORPORATE CENTER DR, EAGAN, MN 55121-1204
(612) 444-4789

Taxonomy

Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
262623-3
MN

Other

Enumeration date
07/09/2009
Last updated
07/09/2009
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