Provider Demographics
NPI:1114019023
Name:QUICK RX DRUGS INC
Entity Type:Organization
Organization Name:QUICK RX DRUGS INC
Other - Org Name:QUICK RX DRUG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-966-5665
Mailing Address - Street 1:PO BOX 7709
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:GA
Mailing Address - Zip Code:31418-7709
Mailing Address - Country:US
Mailing Address - Phone:912-966-5665
Mailing Address - Fax:912-964-9699
Practice Address - Street 1:1001 MEMORIAL LN
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31410-1220
Practice Address - Country:US
Practice Address - Phone:912-898-7535
Practice Address - Fax:912-898-7534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
GAPHRE0089513336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2016481OtherPK
GA000480675DMedicaid
0743710002Medicare NSC