Organization
QUADRA HEALTHCARE INC
Active
Other names
986 Pharmacy #8026
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT OJEDA (CEO)
(626) 252-2736
Entity
Organization
Contact information
Practice address
8536 DEL WEBB BLVD, LAS VEGAS, NV 89134-8676
(702) 476-5888
(702) 586-6581
Mailing address
8536 DEL WEBB BLVD, LAS VEGAS, NV 89134-8676
(702) 476-5888
(702) 586-6581
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH03470
NV
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160276
PK
—
Enumeration date
12/10/2015
Last updated
11/18/2024
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