Healthcare Provider Details

I. General information

NPI: 1912080961
Provider Name (Legal Business Name): QUALITY PHARMACY LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 11/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

164 MEDICAL CENTER RD SUITE E
CHICORA PA
16025-2612
US

IV. Provider business mailing address

164 MEDICAL CENTER RD SUITE E
CHICORA PA
16025-2612
US

V. Phone/Fax

Practice location:
  • Phone: 724-445-3027
  • Fax: 724-445-7227
Mailing address:
  • Phone: 724-445-3027
  • Fax: 724-445-7227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPP481612
License Number StatePA

VIII. Authorized Official

Name: JOSHUA PACKEY
Title or Position: PIC
Credential: BS
Phone: 724-445-3027