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Contact Information

PRIME PHARMACEUTICALS AND COMPOUNDING PHARMACY
5505 PEACHTREE DUNWOODY RD NE
SUITE G-95
ATLANTA, GA30342
 Phone: 404-250-9656
 Fax: 404-250-9226
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for PRIME PHARMACEUTICALS AND COMPOUNDING PHARMACY

NPI # 1841214103
LBN Legal business name PRIME PHARMACEUTICALS AND COMPOUNDING PHARMACY
Authorized official AREZOO AKHAVAN - (NEW OWNER/PIC)
Entity Organization
Organization subpart 1 No
Enumeration date 07/27/2006
Last updated 11/24/2023 - About 3 years ago
Identifiers
GA Medicaid 00322858-B
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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