Healthcare Provider Details

I. General information

NPI: 1225032071
Provider Name (Legal Business Name): R & Q CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2005
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 W MAIN ST
HAVANA IL
62644-1137
US

IV. Provider business mailing address

201 W MAIN ST
HAVANA IL
62644-1137
US

V. Phone/Fax

Practice location:
  • Phone: 309-543-2253
  • Fax: 309-543-3471
Mailing address:
  • Phone: 309-543-2253
  • Fax: 309-543-3471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number054011457
License Number StateIL

VIII. Authorized Official

Name: MR. DONALD QUINONES
Title or Position: PRESIDENT
Credential: R. PH.
Phone: 309-543-2253