| NPI | 1316697436 |
|---|---|
| Doing Business As | PRIME HEALTHCARE RX 1004 |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DOAN Managing Associate General Counsel 909-235-4307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2025-04-16 |