| NPI | 1700277589 |
|---|---|
| Doing Business As | PRIME PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DOAN Chief Compliance Officer 310-259-4706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 14206) |
| Enumeration Date | 2015-02-14 |
| Last Update Date | 2015-02-14 |