Provider Demographics
NPI:1508487414
Name:QUICK FILL RX, INC.
Entity Type:Organization
Organization Name:QUICK FILL RX, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:HARRY
Authorized Official - Last Name:ORTENAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-295-0600
Mailing Address - Street 1:89 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-2793
Mailing Address - Country:US
Mailing Address - Phone:929-295-0600
Mailing Address - Fax:929-295-0602
Practice Address - Street 1:89 4TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-2793
Practice Address - Country:US
Practice Address - Phone:929-295-0600
Practice Address - Fax:929-295-0602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-01
Last Update Date:2020-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy