<Unavail>

LBN: Prime Therapeutics Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 6870 Shadowridge Dr Ste 111 , Orlando FL 32812-9002. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Mail Order Pharmacy is the primary health care specialty. Prime Therapeutics Pharmacy Llc can be contacted via phone (866) 554-2673, or through Glover, Andrew via phone (612) 777-4940.

Contact Information

Primary practice address
6870 Shadowridge Dr Ste 111 Orlando FL 32812-9002
Phone: (866) 554-2673
Fax: (866) 364-2673
Website:
Map and Directions
Authorized official contact:
Name: Glover, Andrew
Phone: (612) 777-4940

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Mail Order Pharmacy 3336M0002X PH19541 Florida

Profile Details

NPI number 1558738864
LBN Legal business name Prime Therapeutics Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Glover, Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2015
Last updated Sep 16th, 2024 - about 2 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 1558738864 NPPES
Vermont MEDICAID 1245241884
Vermont MEDICAID 1245241884
Vermont MEDICAID 1245241884
Vermont MEDICAID 30708673
Vermont MEDICAID 101323804-0002
Vermont MEDICAID 200855460A
Vermont MEDICAID 415778800
Vermont MEDICAID 589259
Vermont MEDICAID ATN66122
Vermont MEDICAID 1245241884
Vermont MEDICAID 1612421
Vermont MEDICAID 1245241884
Vermont MEDICAID 54012687
Vermont MEDICAID 7F9541
Vermont MEDICAID 031904000
Vermont MEDICAID 1245241884
Vermont MEDICAID 513347297001
Vermont MEDICAID 1245241884
Vermont MEDICAID 1245241884
Vermont MEDICAID 1528692
Vermont MEDICAID 200412310A
Vermont Other 2153807
Vermont MEDICAID 538884
Vermont MEDICAID 1245241884
Vermont MEDICAID 100265185-00
Vermont MEDICAID 1245241884
Vermont MEDICAID 600200927

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