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NPI Code Detail

MEDICARE: MEDI-Q INC

MEDICARE: MEDI-Q INC
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
13336C0003XCommunity/Retail PharmacyPH 17051FL

General Provider Information

NPI Number : 1750434460
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDI-Q INC
Provider Business Mailing Address
First Line : 1980 E 4TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33010-2714
Country : US
Telephone Number : 305-887-9911
Fax Number :
Provider Business Practice Location Address
First Line : 1980 E 4TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33010-2714
Country : US
Telephone Number : 305-887-9911
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ENRIQUE QUINTANA
Credential :
Telephone Number : 305-887-9911
Provider Enumeration Date : 01/18/2007
Last Update Date : 08/22/2020

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Directions to “MEDI-Q INC ” Practice Location

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