Healthcare Provider Details

I. General information

NPI: 1558451955
Provider Name (Legal Business Name): QUICK RX DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2006
Last Update Date: 01/20/2022
Certification Date: 01/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 GOSHEN ROAD
RINCON GA
31326
US

IV. Provider business mailing address

PO BOX 7709
GARDEN CITY GA
31408
US

V. Phone/Fax

Practice location:
  • Phone: 912-826-6008
  • Fax: 912-826-6017
Mailing address:
  • Phone: 912-826-6008
  • Fax: 912-826-6017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License NumberPHRE007856
License Number StateGA

VIII. Authorized Official

Name: JANICE STEPHENS
Title or Position: CFO/OWNER
Credential:
Phone: 912-966-5665