# SQA PHARMACY SERVICES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** SQA PHARMACY SERVICES LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265452197
- **Authorized official:** KELLY BRADY (FINANCIAL ANALYST)
- **Authorized official phone:** (215) 438-3308

## Contact information

- **Practice address:** 4700 WISSAHICKON AVE, STE B108, PHILADELPHIA, PA 19144-4248
- **Practice address phone:** (215) 438-3308
- **Practice address fax:** (215) 951-6285
- **Mailing address:** 4700 WISSAHICKON AVE, STE B108, PHILADELPHIA, PA 19144-4248
- **Mailing address phone:** (215) 438-3308
- **Mailing address fax:** (215) 951-6285

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PP481603 | PA | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 11/22/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10166619 | — | PA |
| 01 | — | 2087856 | PK | — |