# QUEENSWAY ENT. INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** QUEENSWAY PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558627323
- **Authorized official:** DR. RICHMOND NIMAKO-BOATENG PHARM.D (CEO)
- **Authorized official phone:** (630) 236-9502

## Contact information

- **Practice address:** 691 COLLINS ST, SUITE 1B, JOLIET, IL 60432-1856
- **Practice address phone:** (630) 236-9502
- **Mailing address:** PO BOX 4863, NAPERVILLE, IL 60567-4863

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | IL | Yes |
| 3336C0004X | Compounding Pharmacy | — | IL | — |

## Other

- **Enumeration date:** 04/05/2012
- **Last updated:** 04/05/2012
