Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prime Pharmacy Services Inc

Organization Community/Retail Pharmacy · NPI 1871767749

Prime Pharmacy Services Inc is a Community/Retail Pharmacy in Los Angeles, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4211 Avalon Blvd Ste 2
Los Angeles, CA 90011-5622
Phone: (323) 432-5183
Fax: (323) 232-9414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X · Licence PHY48954 (CA)
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1871767749
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Smith — Cfo · (805) 529-1195
Other names Prime Pharmacy Services Inc
NPI enumeratedApril 22, 2008
Last updated in NPPESAugust 11, 2008
Mailing address3010 Wilshire Blvd, Ste 222, Los Angeles, CA 90010-1146

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