Healthcare Provider Details

I. General information

NPI: 1528975877
Provider Name (Legal Business Name): QUANTUM CARE RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 CONNECTICUT AVE STE 105
CHEVY CHASE MD
20815-5825
US

IV. Provider business mailing address

8401 CONNECTICUT AVE STE 105
CHEVY CHASE MD
20815-5825
US

V. Phone/Fax

Practice location:
  • Phone: 301-690-6880
  • Fax:
Mailing address:
  • Phone: 301-690-6880
  • Fax:

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 Number
License Number State

VIII. Authorized Official

Name: MAXIMILIAN WICKHAM
Title or Position: OWNER
Credential:
Phone: 202-815-4635