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Prime Therapeutics LLC

Pharmacy, Mail Order Pharmacy in Albuquerque, NM. Organization (NPI-2).

NPI number1265508360
StatusActive
Last updated in NPPESJan 18, 2017

Details

NPI
1265508360
Entity type
Organization (NPI-2)
Legal business name
Prime Therapeutics LLC
Organization subpart
No
Enumeration date
Nov 28, 2006
Last updated
Jan 18, 2017

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336M0002X Pharmacy, Mail Order PharmacyPH00002880NMYes
333600000X Pharmacy––

Other names

  • Prime Therapeutics LLC (Doing Business As)

Practice location

4580 Paradise Blvd Nw
Albuquerque, NM 87114-4105

Phone 877-357-7463 · Fax 888-215-1811

Mailing address

Po Box 27836
Albuquerque, NM 87125-7836

Phone 877-357-7463

Authorized official

Lugina Mendez-Harper
Director Professional Practices
5052061089

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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