Provider Demographics
NPI:1225339286
Name:QUICK RX LLC
Entity Type:Organization
Organization Name:QUICK RX LLC
Other - Org Name:COMMUNITY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:STAFF PHARMACIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HARSH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-960-4717
Mailing Address - Street 1:1089 ELIZABETH AVE
Mailing Address - Street 2:STORE 5
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07201-2984
Mailing Address - Country:US
Mailing Address - Phone:908-469-6363
Mailing Address - Fax:908-469-6362
Practice Address - Street 1:1089 ELIZABETH AVE
Practice Address - Street 2:STORE 5
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07201-2984
Practice Address - Country:US
Practice Address - Phone:908-469-6363
Practice Address - Fax:908-469-6362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-08
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X
NJ28RS007091003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3197440OtherNCPDP PROVIDER IDENTIFICATION NUMBER
NJ6484260001Medicare NSC