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

Prime Therapeutics Pharmacy LLC

Organization Pharmacy · NPI 1558738864

Prime Therapeutics Pharmacy LLC is a Pharmacy in Orlando, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
Specialties on file
2
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

6870 Shadowridge Dr Ste 111
Orlando, FL 32812-9002
Phone: (866) 554-2673
Fax: (866) 364-2673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mail Order Pharmacy (primary) Taxonomy 3336M0002X · Licence PH19541 (FL)
Pharmacy Taxonomy 333600000X

Record details

NPI number1558738864
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Glover — Vp & Gm Specialty Pharmacy Dist · (612) 777-4940
Other names Magellan Rx Pharmacy
NPI enumeratedAugust 24, 2015
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024
Mailing address6870 Shadowridge Dr, Ste 111, Orlando, FL 32812-9002

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