MEDICARE: OLUWASEMINIYANU QUADRY PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	26026400A	IN
2	183500000X	Pharmacist	42615	TN

General Provider Information

NPI Number	:	1043812126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLUWASEMINIYANU QUADRY PHARMD

Provider Business Mailing Address
First Line	:	3367 RICHLAND VALLEY DR
Second Line	:
City	:	BARTLETT
State	:	TN
Zip	:	38133-1800
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6520 MEMPHIS ARLINGTON RD
Second Line	:
City	:	BARTLETT
State	:	TN
Zip	:	38135-2402
Country	:	US
Telephone Number	:	908-388-1004
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/12/2020
Last Update Date	:	11/12/2020

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Directions to “ OLUWASEMINIYANU QUADRY PHARMD” Practice Location

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