Healthcare Provider Details

I. General information

NPI: 1760317747
Provider Name (Legal Business Name): PRIME CURE PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10240 N 31ST AVE STE 210A1
PHOENIX AZ
85051-9558
US

IV. Provider business mailing address

10240 N 31ST AVE STE 210A1
PHOENIX AZ
85051-9558
US

V. Phone/Fax

Practice location:
  • Phone: 602-830-0816
  • Fax: 602-830-0826
Mailing address:
  • Phone: 602-830-0816
  • Fax: 602-830-0826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: RONAK MANEK
Title or Position: PHARMICST
Credential: RPH
Phone: 602-830-0816