Organization
QUICK PHARMACY 002 LLC
Active
Other names
QUICK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MAHMOUD RIFAI (OWNER)
(937) 389-0000
Entity
Organization
Contact information
Practice address
1105 N MESA DR, MESA, AZ 85201-3502
(602) 264-9000
Mailing address
1105 N MESA DR, MESA, AZ 85201-3502
(602) 264-9000
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y005547
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0357764
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/30/2012
Last updated
11/30/2012
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