# QSREX PHARMACY PROFESSIONALS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Qsrex Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003241258
- **Authorized official:** DR. COLLINS O ODUKOGBE PHARMD (VICE PRESIDENT)
- **Authorized official phone:** (803) 467-9172

## Contact information

- **Practice address:** 301 RICE MEADOW WAY, SUITE 5, COLUMBIA, SC 29229-8403
- **Practice address phone:** (803) 708-1229
- **Mailing address:** 301 RICE MEADOW WAY, SUITE 5, COLUMBIA, SC 29229-8403
- **Mailing address phone:** (803) 708-1229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 14138 | SC | Yes |

## Other

- **Enumeration date:** 09/06/2013
- **Last updated:** 09/06/2013