MEDICARE: HEALTHQUEST THERAPEUTICS LLC

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	3336C0003X	Community/Retail Pharmacy	27334	TX

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	:	1720383003
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHQUEST THERAPEUTICS LLC

Provider Business Mailing Address
First Line	:	1311 W SAM HOUSTON PKWY N STE 105
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77043-2052
Country	:	US
Telephone Number	:	832-612-3500
Fax Number	:	866-612-3437

Provider Business Practice Location Address
First Line	:	1311 W SAM HOUSTON PKWY N STE 105
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77043-2052
Country	:	US
Telephone Number	:	832-222-0100
Fax Number	:	832-518-1029

Authorized Official
Title or Position	:	CEO
Name	:	SHAUKAT ALI ZAKARIA
Credential	:
Telephone Number	:	832-706-3773

Provider Enumeration Date	:	01/18/2011
Last Update Date	:	07/21/2021

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