Prime Pharmacy

LBN: Prime Pharmacy, Llc
Prime Pharmacy is an health care organization with primary practice located at 7685 103Rd St Ste 4 , Jacksonville FL 32210. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Prime Pharmacy, Llc can be contacted via phone (904) 813-7634, or through Mirza, Sheraz via phone (904) 551-6555.

Contact Information

Primary practice address
7685 103Rd St Ste 4 Jacksonville FL 32210
Phone: (904) 813-7634
Fax: (904) 551-6555
Website:
Map and Directions
Authorized official contact:
Name: Mirza, Sheraz
Phone: (904) 551-6555

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH24868 Florida
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1962728360
LBN Legal business name Prime Pharmacy, Llc
DBA Doing business as Prime Pharmacy
Authorized official Mirza, Sheraz
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2010
Last updated Jan 10th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962728360 NPPES
Other 2126711 PK
MEDICAID 002961800 PK

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