MEDICARE: PRIME CURE PHARMACY 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	333600000X	Pharmacy

General Provider Information

NPI Number	:	1760317747
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIME CURE PHARMACY LLC

Provider Business Mailing Address
First Line	:	10240 N 31ST AVE STE 210A1
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-9558
Country	:	US
Telephone Number	:	602-830-0816
Fax Number	:	602-830-0826

Provider Business Practice Location Address
First Line	:	10240 N 31ST AVE STE 210A1
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-9558
Country	:	US
Telephone Number	:	602-830-0816
Fax Number	:	602-830-0826

Authorized Official
Title or Position	:	PHARMICST
Name	:	RONAK MANEK
Credential	:	RPH
Telephone Number	:	602-830-0816

Provider Enumeration Date	:	06/12/2026
Last Update Date	:	06/12/2026

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