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Contact Information

PRIME THERAPEUTICS LLC
4580 PARADISE BLVD NW
ALBUQUERQUE, NM87114-4105
 Phone: 877-357-7463
 Fax: 888-215-1811
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mail Order Pharmacy

3336M0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PRIME THERAPEUTICS LLC

NPI Number 1265508360
LBN Legal business name PRIME THERAPEUTICS LLC
Authorized official LUGINA MENDEZ-HARPER - (DIRECTOR PROFESSIONAL PRACTICES)
Entity Organization
Organization subpart 1 No
Enumeration date 11/28/2006
Last updated 01/18/2017 - About 9 years ago
Identifiers
NM License # PH00002880
Other 2059011 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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