Healthcare Provider Details

I. General information

NPI: 1134967623
Provider Name (Legal Business Name): QAULITY CARE PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2024
Last Update Date: 07/18/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1403 E COLDSPRING LANE STE B
BALTIMORE MD
21239
US

IV. Provider business mailing address

1403 E COLD SPRING LANE STE B
BALTIMORE MD
21239
US

V. Phone/Fax

Practice location:
  • Phone: 410-800-4886
  • Fax: 410-864-8941
Mailing address:
  • Phone: 443-835-4472
  • Fax: 410-864-8941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. UCHENNA P EKWUNAZU
Title or Position: PRESIDENT
Credential: PHARMD
Phone: 443-835-4472