Provider Demographics
NPI:1932915105
Name:PRIME PHARMACY GROUP LLC
Entity type:Organization
Organization Name:PRIME PHARMACY GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:UMAIR
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-885-3434
Mailing Address - Street 1:2106 KENNEDY BLVD BLDG 2
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-2144
Mailing Address - Country:US
Mailing Address - Phone:201-885-3434
Mailing Address - Fax:201-885-3435
Practice Address - Street 1:2106 KENNEDY BLVD BLDG 2
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-2144
Practice Address - Country:US
Practice Address - Phone:201-885-3434
Practice Address - Fax:201-885-3435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy