Organization
HEALTH QUEST COMPOUNDING PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD JAMES WITLICKI RPH (PRESIDENT)
(440) 632-0111
Entity
Organization
Contact information
Practice address
14895 N STATE AVE, UNIT D PO, MIDDLEFIELD, OH 44062
(440) 632-0111
(440) 632-0133
Mailing address
14895 N STATE AVE, UNIT D PO BOX 336, MIDDLEFIELD, OH 44062
(440) 632-0111
(440) 632-0133
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2365113
—
OH
01
—
3671078
NABP
—
Enumeration date
03/07/2006
Last updated
08/22/2020
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