MEDICARE: QUICK CARE PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy

General Provider Information

NPI Number	:	1073013843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUICK CARE PHARMACY INC

Provider Business Mailing Address
First Line	:	2314 CONEY ISLAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-3350
Country	:	US
Telephone Number	:	718-375-5700
Fax Number	:	718-375-5701

Provider Business Practice Location Address
First Line	:	2314 CONEY ISLAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-3350
Country	:	US
Telephone Number	:	718-375-5700
Fax Number	:	718-375-5701

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. SHLOMO CHAYA
Credential	:
Telephone Number	:	718-375-5700

Provider Enumeration Date	:	02/17/2018
Last Update Date	:	02/17/2018

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Directions to “QUICK CARE PHARMACY INC ” Practice Location

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