Provider Demographics
NPI:1194212407
Name:Q PHARMA INC
Entity Type:Organization
Organization Name:Q PHARMA INC
Other - Org Name:RENAISSANCE FAMILY PRACTICE - UPMC - RIDC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SAMPLE OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:SINONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-656-0011
Mailing Address - Street 1:22 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-8611
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:121 FREEPORT RD STE 100
Practice Address - Street 2:
Practice Address - City:BLAWNOX
Practice Address - State:PA
Practice Address - Zip Code:15238-3411
Practice Address - Country:US
Practice Address - Phone:412-781-1917
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-23
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site