Provider Demographics
NPI:1114413085
Name:QUALITY CARE PHARMACY LLC
Entity Type:Organization
Organization Name:QUALITY CARE PHARMACY LLC
Other - Org Name:QUALITY CARE PHARMACY LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:HAMZA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALI-AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:586-693-5755
Mailing Address - Street 1:33740 SCHOENHERR RD
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48312-6404
Mailing Address - Country:US
Mailing Address - Phone:586-693-5755
Mailing Address - Fax:586-693-5756
Practice Address - Street 1:33740 SCHOENHERR RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48312-6404
Practice Address - Country:US
Practice Address - Phone:586-693-5755
Practice Address - Fax:586-693-5756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-03
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
5302041839333600000X
MI53020418393336C0003X, 3336L0003X
MIQUALITYCAREPHARMACY13336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy