Organization
SQA PHARMACY SERVICES LLC
Active
Other names
SQA PHARMACY SERVICES LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BRADY (FINANCIAL ANALYST)
(215) 438-3308
Entity
Organization
Contact information
Practice address
4700 WISSAHICKON AVE, STE B108, PHILADELPHIA, PA 19144-4248
(215) 438-3308
(215) 951-6285
Mailing address
4700 WISSAHICKON AVE, STE B108, PHILADELPHIA, PA 19144-4248
(215) 438-3308
(215) 951-6285
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PP481603
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10166619
—
PA
01
—
2087856
PK
—
Enumeration date
07/21/2006
Last updated
11/22/2016
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