# QUAD/MED, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912378431
- **Authorized official:** ROBERT L POULSEN (CFO)
- **Authorized official phone:** (414) 566-8400

## Contact information

- **Practice address:** 270 ABNER JACKSON PKWY, LAKE JACKSON, TX 77566-5124
- **Practice address phone:** (979) 316-5050
- **Practice address fax:** (979) 316-5048
- **Mailing address:** W227N6103 SUSSEX RD, SUSSEX, WI 53089-3969
- **Mailing address phone:** (414) 566-8400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/09/2015
- **Last updated:** 07/08/2025