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NPI Code Detail

MEDICARE: Q PHARMACY INC

MEDICARE: Q PHARMACY 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
13336M0003XManaged Care Organization Pharmacy
23336S0011XSpecialty Pharmacy25089TX
33336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14541529OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1992819882
Entity Type Code : Organization
Provider Name (Legal Business Name) : Q PHARMACY INC
Provider Business Mailing Address
First Line : 14100 NACOGDOCHES RD
Second Line : STE 116
City : SAN ANTONIO
State : TX
Zip : 78247-1903
Country : US
Telephone Number : 210-491-8136
Fax Number : 210-590-6959
Provider Business Practice Location Address
First Line : 14100 NACOGDOCHES RD
Second Line : STE 116
City : SAN ANTONIO
State : TX
Zip : 78247-1903
Country : US
Telephone Number : 210-491-8136
Fax Number : 210-590-6959
Authorized Official
Title or Position : PRESIDENT
Name : CARLOS R TAMI
Credential :
Telephone Number : 210-489-4931
Provider Enumeration Date : 08/18/2006
Last Update Date : 11/21/2008

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Directions to “Q PHARMACY INC ” Practice Location

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