Provider Demographics
NPI:1598350209
Name:QC PHARMACY CORP
Entity Type:Organization
Organization Name:QC PHARMACY CORP
Other - Org Name:QUALITY-CARE PHARMACY LTC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VRIJLAL
Authorized Official - Middle Name:M
Authorized Official - Last Name:RAKHOLIA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:760-744-5959
Mailing Address - Street 1:727 W SAN MARCOS BLVD #113
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92078
Mailing Address - Country:US
Mailing Address - Phone:760-744-5959
Mailing Address - Fax:760-744-5960
Practice Address - Street 1:727 W SAN MARCOS BLVD #113
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078
Practice Address - Country:US
Practice Address - Phone:760-744-5959
Practice Address - Fax:760-744-5960
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:QC PHARMACY CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1861484214Medicaid
CA39483OtherPHARMACY PERMIT
CA39483OtherPHARMACY PERMIT