Organization
PRIMECARE PLUS INC
Active
Other names
PRIMECARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUSTA AHARANWA (PHARMACIST IN CHARGE)
(817) 996-1092
Entity
Organization
Contact information
Practice address
611 W MAIN ST, ARLINGTON, TX 76010-1008
(817) 538-9767
(817) 538-9147
Mailing address
611 W MAIN ST, ARLINGTON, TX 76010-1008
(817) 538-9767
(817) 538-9147
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
30730
TX
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841653060
—
TX
01
—
2159432
PK
—
Enumeration date
04/04/2016
Last updated
05/31/2025
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