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Prime Therapeutics LLC — NPI 1669601878, Eagan, MN | NPI Central

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NPI 1669601878

OrganizationActive

Prime Therapeutics LLC

NPI 1669601878 · Mail Order Pharmacy · Eagan, MN

Provider details

NPI number: 1669601878
Entity type: Organization
Primary specialty: Mail Order PharmacySuppliers
Organization subpart: No
Authorized official: Charles Roerick, Cfo(612) 777-4592
License: 262623-3 (MN)

Specialties & taxonomies

Mail Order PharmacyPrimary3336M0002XLicense 262623-3 (MN)
Suppliers

Practice location

1305 Corporate Center Dr

Eagan, MN 55121-1204

Phone: (612) 444-4789

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

1305 Corporate Center Dr

Eagan, MN 55121-1204

Registry dates

Enumerated: 2009-07-09
Last updated: 2009-07-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.