Provider Demographics
NPI:1932462033
Name:QUICK SUCCESS PHARMACY INC
Entity Type:Organization
Organization Name:QUICK SUCCESS PHARMACY INC
Other - Org Name:QUICK SUCCESS PHARMACY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:NADELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-934-0090
Mailing Address - Street 1:1610 AVENUE U
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229
Mailing Address - Country:US
Mailing Address - Phone:718-376-7600
Mailing Address - Fax:718-376-7601
Practice Address - Street 1:1610 AVENUE U
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-3810
Practice Address - Country:US
Practice Address - Phone:718-376-7600
Practice Address - Fax:718-376-7601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-22
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NY0313093336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2135736OtherPK