Provider Demographics
NPI:1356071849
Name:QUALITY CARE PHARMACY
Entity Type:Organization
Organization Name:QUALITY CARE PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMEH
Authorized Official - Middle Name:
Authorized Official - Last Name:NOSSIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-417-3605
Mailing Address - Street 1:5 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BERGENFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07621-2101
Mailing Address - Country:US
Mailing Address - Phone:201-338-4549
Mailing Address - Fax:201-338-4550
Practice Address - Street 1:5 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BERGENFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07621-2101
Practice Address - Country:US
Practice Address - Phone:201-338-4549
Practice Address - Fax:201-338-4550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-16
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy