Organization
QSREX PHARMACY PROFESSIONALS
Active
Other names
Qsrex Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLLINS O ODUKOGBE PHARMD (VICE PRESIDENT)
(803) 467-9172
Entity
Organization
Contact information
Practice address
301 RICE MEADOW WAY, SUITE 5, COLUMBIA, SC 29229-8403
(803) 708-1229
Mailing address
301 RICE MEADOW WAY, SUITE 5, COLUMBIA, SC 29229-8403
(803) 708-1229
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
14138
SC
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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