=====================================================
General NPI Number Information
=====================================================
NPI Number | 1639992035
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | QUICK MEDS RX INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/04/2024
-----------------------------------------------------
Last Update Date | 11/04/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 728 E 187TH ST
-----------------------------------------------------
City | BRONX
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10458-6844
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-269-7848
-----------------------------------------------------
Fax | 347-269-7849
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 728 E 187TH ST
-----------------------------------------------------
City | BRONX
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10458-6844
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-269-7848
-----------------------------------------------------
Fax | 347-269-7849
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | ABDUL REHMAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 347-269-7848
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------