Provider Demographics
NPI:1538477526
Name:QUALITY CARE PHARMACY
Entity Type:Organization
Organization Name:QUALITY CARE PHARMACY
Other - Org Name:REMINDADOSE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:AKERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-708-7750
Mailing Address - Street 1:566 N CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:MI
Mailing Address - Zip Code:48854-1015
Mailing Address - Country:US
Mailing Address - Phone:517-708-7750
Mailing Address - Fax:517-708-7906
Practice Address - Street 1:566 N CEDAR ST
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:MI
Practice Address - Zip Code:48854-1015
Practice Address - Country:US
Practice Address - Phone:517-708-7750
Practice Address - Fax:517-708-7906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-23
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0003X
MI53010095573336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1538477526Medicaid
2126939OtherPK