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Organization
QUICKRX LLC
Active
Organization
QUICKRX LLC
Active
Other names
BREWSTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
UMESH GAJJALA (OWNER)
(732) 986-5593
Entity
Organization
Contact information
Practice address
811 US HWY 97, BREWSTER, WA 98812
(509) 689-2421
(509) 689-2068
Mailing address
PO BOX 2130, BREWSTER, WA 98812
(509) 689-2421
(509) 689-2068
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
PHAR.CF.60810882
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2167145
—
WA
01
—
2175343
PK
—
Enumeration date
11/24/2006
Last updated
12/04/2023
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