Healthcare Provider Details

I. General information

NPI: 1447147459
Provider Name (Legal Business Name): PRIME SOLUTIONS RX, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2025
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2705 JUAN TABO BLVD NE STE 4A
ALBUQUERQUE NM
87112-1884
US

IV. Provider business mailing address

2705 JUAN TABO BLVD NE STE 4A
ALBUQUERQUE NM
87112-1884
US

V. Phone/Fax

Practice location:
  • Phone: 505-336-1630
  • Fax: 505-240-8458
Mailing address:
  • Phone: 505-336-1630
  • Fax: 505-240-8458

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER DAVID SMITH
Title or Position: OWNER/PHARMACIST
Credential: PHARMD
Phone: 505-336-1630