Healthcare Provider Details

I. General information

NPI: 1114413085
Provider Name (Legal Business Name): QUALITY CARE PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2018
Last Update Date: 01/14/2021
Certification Date: 01/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33740 SCHOENHERR RD
STERLING HEIGHTS MI
48312-6404
US

IV. Provider business mailing address

33740 SCHOENHERR RD
STERLING HEIGHTS MI
48312-6404
US

V. Phone/Fax

Practice location:
  • Phone: 586-693-5755
  • Fax: 586-693-5756
Mailing address:
  • Phone: 586-693-5755
  • Fax: 586-693-5756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number5302041839
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number5302041839
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberQUALITYCAREPHARMACY1
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number5302041839
License Number StateMI

VIII. Authorized Official

Name: HAMZA A ALI-AHMED
Title or Position: PHARMACIST
Credential: PHARMD
Phone: 586-693-5755