Provider Demographics
NPI:1316988629
Name:THE PRIME RITE CORPORATION
Entity type:Organization
Organization Name:THE PRIME RITE CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHIBUEZE
Authorized Official - Middle Name:ALPHONSUS
Authorized Official - Last Name:ADIELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-643-8989
Mailing Address - Street 1:841 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102-2726
Mailing Address - Country:US
Mailing Address - Phone:973-643-8989
Mailing Address - Fax:
Practice Address - Street 1:841 BROAD ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-2726
Practice Address - Country:US
Practice Address - Phone:973-643-8989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJRS006040003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4569710001Medicare ID - Type Unspecified