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Contact Information

PRIME SPECIALTY PHARMACY
10215 MCINTYRE RIDGE RD
SUITE 101
PINEVILLE, NC28134
 Phone: 301-204-3819
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PRIME SPECIALTY PHARMACY

NPI # 1316651482
LBN Legal business name PRIME SPECIALTY PHARMACY
Authorized official JIGNESH MANDAVIA - (PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 01/12/2023
Last updated 01/12/2023 - About 3 years ago
Identifiers n/a
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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