Organization
PRIME PHARMACY SERVICES INC
Active
Other names
PRIME PHARMACY SERVICES INC
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL SMITH (CFO)
(805) 529-1195
Entity
Organization
Contact information
Practice address
4211 AVALON BLVD, STE 2, LOS ANGELES, CA 90011-5622
(323) 432-5183
(323) 232-9414
Mailing address
3010 WILSHIRE BLVD, STE 222, LOS ANGELES, CA 90010-1146
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHY48954
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5630086
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/22/2008
Last updated
08/11/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us