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Organization
HEALTH QUEST COMPOUNDING PHARMACY INC
Active
Organization
HEALTH QUEST COMPOUNDING PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD JAMES WITLICKI RPH (PRESIDENT)
(440) 632-0111
Entity
Organization
Contact information
Practice address
14895 N STATE AVE, UNIT D PO, MIDDLEFIELD, OH 44062
(440) 632-0111
(440) 632-0133
Mailing address
14895 N STATE AVE, UNIT D PO BOX 336, MIDDLEFIELD, OH 44062
(440) 632-0111
(440) 632-0133
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2365113
—
OH
01
—
3671078
NABP
—
Enumeration date
03/07/2006
Last updated
08/22/2020
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