Healthcare Provider Details

I. General information

NPI: 1194212407
Provider Name (Legal Business Name): Q PHARMA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2018
Last Update Date: 04/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 FREEPORT RD STE 100
BLAWNOX PA
15238-3411
US

IV. Provider business mailing address

22 SOUTH ST
MORRISTOWN NJ
07960-8611
US

V. Phone/Fax

Practice location:
  • Phone: 412-781-1917
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: NANCY SINONG
Title or Position: SAMPLE OPERATIONS MANAGER
Credential:
Phone: 973-656-0011