Prime Pharmacy Services Inc
Long Term Care Pharmacy
4211 Avalon Blvd, Ste 2, Los Angeles
California, 90011-5622
323-432-5183 323-232-9414
Prime Pharmacy Services Inc is a Long Term Care Pharmacy in Los Angeles, California. It is located at 4211 Avalon Blvd, Ste 2, Los Angeles and it's customer support contact number is 323-432-5183. The authorized person of Prime Pharmacy Services Inc is Russell Smith who is Cfo of the pharmacy and his contact number is 805-529-1195. Active license number of Prime Pharmacy Services Inc is PHY48954 for Long Term Care Pharmacy in California.
Prime Pharmacy Services Inc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Prime Pharmacy Services Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Prime Pharmacy Services Inc |
| Type: | Long Term Care Pharmacy |
| Location: | 4211 Avalon Blvd, Ste 2, Los Angeles,
California, 90011-5622 |
| Phone: | 323-432-5183 |
| Fax: | 323-232-9414 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Russell Smith |
| Position: | Cfo |
| Contact Number: | 805-529-1195 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1871767749 |
| NPI Enumeration Date: | 22 Apr, 2008 |
| NPI Last Update On: | 11 Aug, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Prime Pharmacy Services Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | PHY48954 | California | Primary | |
| Community/Retail Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 5630086 | Other | | Ncpdp Provider Identification Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3010 Wilshire Blvd, Ste 222
Los Angeles, California |
| Zip: | 90010-1146 |
| Phone Number: | -- |
Patients can reach Prime Pharmacy Services Inc at
4211 Avalon Blvd, Ste 2, Los Angeles, California or can
call on customer care at 323-432-5183.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.