Healthcare Provider Details

I. General information

NPI: 1710934369
Provider Name (Legal Business Name): QUALICARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 09/19/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2336 RIDGE CT STE C
LAWRENCE KS
66046-3983
US

IV. Provider business mailing address

2336 RIDGE CT STE C
LAWRENCE KS
66046-3983
US

V. Phone/Fax

Practice location:
  • Phone: 785-841-1950
  • Fax: 785-841-1051
Mailing address:
  • Phone: 785-841-1950
  • Fax: 785-841-1051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number2-08151
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number2014021802
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberY007466
License Number StateAZ

VIII. Authorized Official

Name: TAMARA WILLITS
Title or Position: CO OWNER
Credential: RPH
Phone: 785-841-1950