Healthcare Provider Details

I. General information

NPI: 1740193234
Provider Name (Legal Business Name): SZ PRIME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3215 W PLEASANT RUN RD
LANCASTER TX
75146-1000
US

IV. Provider business mailing address

3215 W PLEASANT RUN RD
LANCASTER TX
75146-1000
US

V. Phone/Fax

Practice location:
  • Phone: 928-382-5001
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SHASHONA L ZESSIN
Title or Position: OWNER
Credential:
Phone: 928-382-5001