Provider Demographics
NPI:1679704308
Name:QPHARXMACY
Entity Type:Organization
Organization Name:QPHARXMACY
Other - Org Name:QPHARXMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST-IN-CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-656-0011
Mailing Address - Street 1:22 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-8611
Mailing Address - Country:US
Mailing Address - Phone:973-656-0011
Mailing Address - Fax:973-656-0408
Practice Address - Street 1:45 HORSEHILL RD
Practice Address - Street 2:SUITE103
Practice Address - City:CEDAR KNOLLS
Practice Address - State:NJ
Practice Address - Zip Code:07927-2009
Practice Address - Country:US
Practice Address - Phone:973-984-2550
Practice Address - Fax:973-656-2622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-29
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS00693800333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2121130OtherPK