Provider Demographics
NPI:1417270612
Name:QUICK CARE PHARMACY INC
Entity Type:Organization
Organization Name:QUICK CARE PHARMACY INC
Other - Org Name:QUICK CARE PHARMACY, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:HUY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:714-654-9103
Mailing Address - Street 1:9397 HAVEN AVE
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-5336
Mailing Address - Country:US
Mailing Address - Phone:866-393-8116
Mailing Address - Fax:866-393-5258
Practice Address - Street 1:9397 HAVEN AVE
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-5336
Practice Address - Country:US
Practice Address - Phone:866-393-8116
Practice Address - Fax:866-393-5258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-03
Last Update Date:2015-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA525403336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5637155OtherNCPDP PROVIDER IDENTIFICATION NUMBER