Prime Therapeutics LLC
Organization Active NPI Specialty Pharmacy · Irving, TX
NPI 1972958882 · NPPES record last updated Apr 28, 2016
Key facts
- NPI
- 1972958882
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialty Pharmacy 3336S0011X
- License
- 24033 (TX)
- Legal business name
- PRIME THERAPEUTICS LLC
- Practice address
- 2901 Kinwest Pkwy Ste 250
Irving, TX 75063-5815 - Phone
- (972) 630-1065
- NPI assigned
- Apr 28, 2016
- Organization subpart
- No
Authorized official
- Name
- Jagruti Patel-Herron
- Title
- Pharmacist in Charge
- Phone
- (972) 630-1065
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Prime Therapeutics LLC
Locations
2901 Kinwest Pkwy
Ste 250
Irving, TX 75063
Phone (972) 630-1065
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Specialty Pharmacy | 3336S0011X | 24033 | TX | Yes |
Addresses
Primary practice location
2901 Kinwest Pkwy Ste 250
Irving, TX 75063-5815
Mailing address
2901 Kinwest Pkwy Ste 250
Irving, TX 75063-5815
Phone (972) 630-1065
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2159741 | Other | PK |
Other names
- Prime Therapeutics LLC
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.