Provider Demographics
NPI:1962037432
Name:QUINLANS PHARMACY INC
Entity Type:Organization
Organization Name:QUINLANS PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:GREUBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-612-3024
Mailing Address - Street 1:107 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WAYLAND
Mailing Address - State:NY
Mailing Address - Zip Code:14572-1033
Mailing Address - Country:US
Mailing Address - Phone:585-728-2250
Mailing Address - Fax:
Practice Address - Street 1:2215 GENESEE STREET
Practice Address - Street 2:4TH FLOOR, ROOM 415
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-5930
Practice Address - Country:US
Practice Address - Phone:315-801-8682
Practice Address - Fax:315-801-8684
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:QUINLANS PHARMACY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-03-05
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies