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NPI Code Detail

MEDICARE: QUALITY PHARMACY LP

MEDICARE: QUALITY PHARMACY LP
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 PharmacyPP481612PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12081676OTHERPK

General Provider Information

NPI Number : 1912080961
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUALITY PHARMACY LP
Provider Business Mailing Address
First Line : 164 MEDICAL CENTER RD
Second Line : SUITE E
City : CHICORA
State : PA
Zip : 16025-2612
Country : US
Telephone Number : 724-445-3027
Fax Number : 724-445-7227
Provider Business Practice Location Address
First Line : 164 MEDICAL CENTER RD
Second Line : SUITE E
City : CHICORA
State : PA
Zip : 16025-2612
Country : US
Telephone Number : 724-445-3027
Fax Number : 724-445-7227
Authorized Official
Title or Position : PIC
Name : JOSHUA PACKEY
Credential : BS
Telephone Number : 724-445-3027
Provider Enumeration Date : 10/23/2006
Last Update Date : 11/15/2016

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Directions to “QUALITY PHARMACY LP ” Practice Location

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