Organization
PRIME PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY DANG PHARM D (PRESIDENT)
(206) 829-4908
Entity
Organization
Contact information
Practice address
64 RAINIER AVE S, RENTON, WA 98057-2047
(206) 931-3557
(206) 829-4906
Mailing address
64 RAINIER AVE S STE H, RENTON, WA 98057-2047
(206) 829-4908
(206) 829-4906
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PH40213
WA
3336L0003X
Long Term Care Pharmacy
PH40213
WA
Other
Enumeration date
09/07/2018
Last updated
06/30/2019
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