| NPI | 1265508360 |
|---|---|
| Doing Business As | PRIME THERAPEUTICS LLC |
| Entity Type | Organization |
| Authorized Contact | LUGINA MENDEZ-HARPER Director Professional Practices 505-206-1089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy Mail Order Pharmacy (Licence: NM PH00002880) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2017-01-18 |