Organization
QUEST RX SERVICES
Active
Other names
Quest Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD BANAWAN (PRESIDENT/OWNER)
(704) 899-5100
Entity
Organization
Contact information
Practice address
5820 E WT HARRIS BLVD STE E-2, CHARLOTTE, NC 28215-3541
(704) 899-5100
(704) 899-0454
Mailing address
5820 EAST W.T. HARRIS BLVD, SUITE E-2, CHARLOTTE, NC 28215-0023
(704) 899-5100
(704) 899-0454
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
333600000X
Pharmacy
11075
NC
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3459220
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/09/2011
Last updated
06/15/2012
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