Provider Demographics
NPI:1447619432
Name:QPS PHARMACY INC
Entity Type:Organization
Organization Name:QPS PHARMACY INC
Other - Org Name:QUINN'S APOTHECARY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:PAIDEIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:714-916-0593
Mailing Address - Street 1:18685 MAIN ST STE 105
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-1721
Mailing Address - Country:US
Mailing Address - Phone:714-916-0593
Mailing Address - Fax:714-916-0693
Practice Address - Street 1:18685 MAIN ST STE 105
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-1721
Practice Address - Country:US
Practice Address - Phone:714-916-0593
Practice Address - Fax:714-916-0693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-18
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY 542803336C0003X, 3336C0004X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy