MEDICARE: QUALITY DRUG LONG TERM CARE

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	3336L0003X	Long Term Care Pharmacy	PHY47100	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5615565	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	5615565	OTHER		OTHER ID NUMBER

General Provider Information

NPI Number	:	1972682649
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY DRUG LONG TERM CARE

Provider Business Mailing Address
First Line	:	3471 VIA LIDO
Second Line	:	STE 211
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92663-3912
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3471 VIA LIDO
Second Line	:	STE 211
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92663-3912
Country	:	US
Telephone Number	:	949-673-1996
Fax Number	:	949-673-1937

Authorized Official
Title or Position	:	VP PHRM
Name	:	GEORGE KOIXVER
Credential	:	PHRMD
Telephone Number	:	949-673-1996

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	08/30/2007

Similar Medicare Providers

1629488721 — DR. LINDA HOPKINS
Practice Location Address:

3471 VIA LIDO , SUITE 209
NEWPORT BEACH, CA
92663-3912

Practice Phone: 949-290-2102
Practice Fax:

1376930297 — DR. LINDA HOPKINS PH.D.
Practice Location Address:

3471 VIA LIDO
NEWPORT BEACH, CA
92663-3912

Practice Phone: 949-290-2102
Practice Fax: 949-675-3245

1407830730 — DR. JEWELL RENEE CHANG OD
Practice Location Address:

3201 NE SKYLINE DR STE D
JENSEN BEACH, FL
34957-3912

Practice Phone: 772-334-4264
Practice Fax: 772-334-4265

1578542429 — MR. ROBERT ZYKOSKI R.PH.
Practice Location Address:

3912 S OCEAN BLVD , #1407
HIGHLAND BEACH, FL
33487-3338

Practice Phone: 561-441-1410
Practice Fax:

1962459727 — HEARTLAND OF BOYNTON BEACH FL LLC
Practice Location Address:

3600 OLD BOYNTON RD
BOYNTON BEACH, FL
33436-3912

Practice Phone: 561-736-9992
Practice Fax: 561-364-9527

1407875321 — DR. DOMINICK ANTHONY MARINO O.D.
Practice Location Address:

4530 PGA BLVD , SUITE 105
PALM BEACH GARDENS, FL
33418-3912

Practice Phone: 561-799-2461
Practice Fax: 561-622-2408

Directions to “QUALITY DRUG LONG TERM CARE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.