Organization
PRIME THERAPEUTICS LLC
Active
Other names
Prime Therapeutics LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JAGRUTI PATEL-HERRON (PHARMACIST IN CHARGE)
(972) 630-1065
Entity
Organization
Contact information
Practice address
2901 KINWEST PKWY STE 250, IRVING, TX 75063-5815
(972) 630-1065
Mailing address
2901 KINWEST PKWY STE 250, IRVING, TX 75063-5815
(972) 630-1065
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
24033
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159741
PK
—
Enumeration date
04/28/2016
Last updated
04/28/2016
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