MEDICARE: Q PHARMA 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	332900000X	Non-Pharmacy Dispensing Site

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396470233
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	Q PHARMA INC

Provider Business Mailing Address
First Line	:	22 SOUTH ST
Second Line	:
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-8611
Country	:	US
Telephone Number	:	973-644-2204
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 HALKET ST STE 1731
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-3108
Country	:	US
Telephone Number	:	412-422-5970
Fax Number	:

Authorized Official
Title or Position	:	MANAGING DIRECTOR OF SAMPLES, DTP,
Name	:	MICHAEL STRUBBE
Credential	:
Telephone Number	:	973-644-2204

Provider Enumeration Date	:	07/22/2022
Last Update Date	:	07/22/2022

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Directions to “Q PHARMA INC ” Practice Location

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