Provider Demographics
NPI:1952078123
Name:QUESS PHARMACY INC.
Entity Type:Organization
Organization Name:QUESS PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PIC
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTAIN
Authorized Official - Middle Name:BRADLEY
Authorized Official - Last Name:DEDMON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:870-394-3060
Mailing Address - Street 1:430 W BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:WEST MEMPHIS
Mailing Address - State:AR
Mailing Address - Zip Code:72301-2904
Mailing Address - Country:US
Mailing Address - Phone:870-394-3060
Mailing Address - Fax:888-804-2856
Practice Address - Street 1:430 W BROADWAY ST
Practice Address - Street 2:
Practice Address - City:WEST MEMPHIS
Practice Address - State:AR
Practice Address - Zip Code:72301-2904
Practice Address - Country:US
Practice Address - Phone:870-394-3060
Practice Address - Fax:888-804-2856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-25
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy