Provider Demographics
NPI:1811071251
Name:QUALITY PHARMACY, INC.
Entity type:Organization
Organization Name:QUALITY PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:ADAM
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:228-374-3789
Mailing Address - Street 1:999 HOWARD AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39530-3745
Mailing Address - Country:US
Mailing Address - Phone:228-374-3789
Mailing Address - Fax:228-436-4996
Practice Address - Street 1:999 HOWARD AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39530-3745
Practice Address - Country:US
Practice Address - Phone:228-374-3789
Practice Address - Fax:227-436-4996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS04591/02.0251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00330507Medicaid
MS00440702Medicaid
MS00440702Medicaid