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NPI Code Detail

MEDICARE: PRIME PHARMACY INC.

MEDICARE: PRIME PHARMACY INC.
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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1679167340
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIME PHARMACY INC.
Provider Business Mailing Address
First Line : 125 WASHINGTON AVE FL 2
Second Line : SUITE B
City : CARTERET
State : NJ
Zip : 07008-2635
Country : US
Telephone Number : 732-366-2656
Fax Number : 732-352-0951
Provider Business Practice Location Address
First Line : 125 WASHINGTON AVE FL 2
Second Line : SUITE B
City : CARTERET
State : NJ
Zip : 07008-2635
Country : US
Telephone Number : 732-366-2656
Fax Number : 732-352-0951
Authorized Official
Title or Position : OWNER
Name : AOUN MUHAMMAD
Credential :
Telephone Number : 732-366-2656
Provider Enumeration Date : 02/23/2021
Last Update Date : 06/19/2026

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