Organization
PRIME PHARMACY SERVICES, LLC
Active
Other names
Prime Pharmacy East
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ERBLAT (PRESIDENT)
(561) 866-8060
Entity
Organization
Contact information
Practice address
2427 PORTER LAKE DR, SUITE 109, SARASOTA, FL 34240-8853
(941) 378-2607
Mailing address
2427 PORTER LAKE DR, SUITE 109, SARASOTA, FL 34240-8853
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PH24204
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032079000
—
FL
Enumeration date
08/24/2012
Last updated
08/24/2012
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