Healthcare Provider Details

I. General information

NPI: 1144332057
Provider Name (Legal Business Name): QUICK PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 03/02/2022
Certification Date: 03/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 E PALM VALLEY BLVD
ROUND ROCK TX
78664-3245
US

IV. Provider business mailing address

701 E PALM VALLEY BLVD
ROUND ROCK TX
78664-3245
US

V. Phone/Fax

Practice location:
  • Phone: 512-255-2144
  • Fax: 512-255-2422
Mailing address:
  • Phone: 512-255-2144
  • Fax: 512-255-2422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number13957
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number31260
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. GARTH HINZE
Title or Position: PRESIDENT
Credential:
Phone: 936-564-7373