Organization
PRIME PHC INC
Active
Organization
PRIME PHC INC
Active
Other names
PRIME PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHUL CHOI (PIC)
(713) 696-9977
Entity
Organization
Contact information
Practice address
477 W PARKER RD, HOUSTON, TX 77091-3202
(713) 696-9977
(713) 696-9988
Mailing address
477 W PARKER RD, HOUSTON, TX 77091-3202
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
20643
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145025
—
TX
01
—
4517201
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/20/2006
Last updated
02/02/2009
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