Organization
PRIME HEALTHCARE SERVICES - KANSAS CITY LLC
Active
Other names
Prime Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DOAN (CHIEF COMPLIANCE OFFICER)
(310) 259-4706
Entity
Organization
Contact information
Practice address
1004 CARONDELET DR, SUITE 120, KANSAS CITY, MO 64114-4801
(816) 943-2706
Mailing address
1004 CARONDELET DR, SUITE 120, KANSAS CITY, MO 64114-4801
(816) 943-2706
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
14206
MO
Other
Enumeration date
02/14/2015
Last updated
02/14/2015
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