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

Prime Therapeutics Pharmacy LLC

Organization Pharmacy · NPI 1356790364

Prime Therapeutics Pharmacy LLC is a Pharmacy in West Valley City, Utah. Licensed in Utah. Registered with an NPI since 2016.

Licensed in
UT
In the registry since
2016
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2256 S 3600 W Ste A
West Valley City, UT 84119-1124
Phone: (866) 554-2673
Fax: (866) 364-2673
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mail Order Pharmacy (primary) Taxonomy 3336M0002X
Pharmacy Taxonomy 333600000X
Specialty Pharmacy Taxonomy 3336S0011X · Licence 10303032-1704 (UT)

Record details

NPI number1356790364
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phi Tran — Pic · (855) 271-4810
Other names Magellan Rx Pharmacy, Llc
NPI enumeratedJune 9, 2016
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024
Mailing address2256 S 3600 W Ste A, West Valley City, UT 84119-1124

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