MEDICARE: PRIME SOLUTIONS RX, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM2500X	Medical Specialty Clinic/Center

General Provider Information

NPI Number	:	1447147459
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIME SOLUTIONS RX, LLC

Provider Business Mailing Address
First Line	:	2705 JUAN TABO BLVD NE STE 4A
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87112-1884
Country	:	US
Telephone Number	:	505-336-1630
Fax Number	:	505-240-8458

Provider Business Practice Location Address
First Line	:	2705 JUAN TABO BLVD NE STE 4A
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87112-1884
Country	:	US
Telephone Number	:	505-336-1630
Fax Number	:	505-240-8458

Authorized Official
Title or Position	:	OWNER/PHARMACIST
Name	:	CHRISTOPHER DAVID SMITH
Credential	:	PHARMD
Telephone Number	:	505-336-1630

Provider Enumeration Date	:	06/23/2025
Last Update Date	:	12/22/2025

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