National Provider Identifier Database

PRIME SPECIALTY PHARMACY
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

PRIME SPECIALTY PHARMACY
10215 MCINTYRE RIDGE RD
SUITE 101
PINEVILLE, NC28134
Phone: 301-204-3819
Fax:
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for PRIME SPECIALTY PHARMACY

NPI Number 1316651482
Legal business name
LBN
PRIME SPECIALTY PHARMACY
Authorized official JIGNESH MANDAVIA - (PHARMACIST)
Entity Organization
Organization subpart No
Enumeration date 01/12/2023
Last updated 01/12/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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