Organization
QUALITY COMPOUNDING AND SPECIALTY RX LTD
Active
Other names
Quality Compounding and Specialty Rx
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD MCDERMOTT (SVP OPERATIONS)
(330) 318-3926
Entity
Organization
Contact information
Practice address
7160 WARREN SHARON RD, BROOKFIELD, OH 44403-9657
(330) 505-1064
(330) 505-1068
Mailing address
8571 FOXWOOD CT, SUITE A, POLAND, OH 44514-4313
(330) 318-3926
(330) 318-3927
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
021918100
OH
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2118709
PK
—
05
—
2927579
—
OH
Enumeration date
12/23/2008
Last updated
03/31/2017
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