Organization
QUALITY PHARMACY SERVICES
Active
Other names
LOW COST PRESCRIPTION SOUTH
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES CLEVENGER (PRESIDENT)
(765) 643-8850
Entity
Organization
Contact information
Practice address
715 E 53RD ST, ANDERSON, IN 46013-1750
(765) 649-4122
(765) 649-0746
Mailing address
715 E 53RD ST, ANDERSON, IN 46013-1750
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
60003132
IN
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1522994
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/07/2006
Last updated
09/11/2025
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