# QUALITY PHARMACY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LOW COST PRESCRIPTION SOUTH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063581916
- **Authorized official:** CHARLES CLEVENGER (PRESIDENT)
- **Authorized official phone:** (765) 643-8850

## Contact information

- **Practice address:** 715 E 53RD ST, ANDERSON, IN 46013-1750
- **Practice address phone:** (765) 649-4122
- **Practice address fax:** (765) 649-0746
- **Mailing address:** 715 E 53RD ST, ANDERSON, IN 46013-1750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | 60003132 | IN | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1522994 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |