Organization
RX PRIME INC
Active
Other names
Provision Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYYAN M KHATIB (OWNER)
(732) 647-6939
Entity
Organization
Contact information
Practice address
30 W MAIN ST, FREEHOLD, NJ 07728-2210
(732) 647-6939
Mailing address
30 W MAIN ST, FREEHOLD, NJ 07728-2210
(732) 647-6939
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/12/2025
Last updated
03/19/2026
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