Prime Therapeutics Specialty Prime Llc, NPI 1912227703
Mail Order Pharmacy in Dallas, TX, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1912227703
NPI Entity Type Organization
Provider Name Prime Therapeutics Specialty Prime Llc
Doing Business As
Subpart of Organization Prime Therapeutics Specialty Prime Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 8600 Harry Hines Blvd Ste 100, Dallas, TX, US
Provider Mailing Address 1901 E Voorhees, Ms 790, Danville, IL, US, 618344509
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Kira Taylor
Official Position MANAGER
Phone 217-709-2351

Primary Taxonomy

Taxonomy Code

3336M0002X

Taxonomy Name Mail Order Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 31301
License State TX
Description A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states.

Other Organization Name

AllianceRx Walgreens Prime #4582-2
Doing Business As

Business Address

Prime Therapeutics Specialty Prime Llc
8600 Harry Hines Blvd Ste 100

Dallas, TX, US

Phone: 888-282-4801

Mailing Address

Prime Therapeutics Specialty Prime Llc
1901 E Voorhees
Ms 790
Danville, IL, US
ZIP 618344509
Phone: 217-709-2386
Fax: 217-709-2344

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
260076803001 IL MEDICAID 05
04259351 NM MEDICAID 05

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Jessica Hooson, Lcsw, P.l.l.c.

Organization

Community/Behavioral Health Agency

1004 Placid Creek Ct

Round Rock, TX

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