MEDICARE: QUIRE PHARMACY LLC

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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1154830990
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUIRE PHARMACY LLC

Provider Business Mailing Address
First Line	:	8205 W WARM SPRINGS RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-3645
Country	:	US
Telephone Number	:	888-486-8002
Fax Number	:	702-202-4975

Provider Business Practice Location Address
First Line	:	8205 W WARM SPRINGS RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-3645
Country	:	US
Telephone Number	:	800-592-7174
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MATTHEW CUNNINGHAM
Credential	:
Telephone Number	:	800-592-7174

Provider Enumeration Date	:	09/25/2017
Last Update Date	:	10/04/2017

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Directions to “QUIRE PHARMACY LLC ” Practice Location

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