Organization
NRSA INC
Active
Other names
The QR Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA SHEVCHENKO (CEO)
(323) 397-0840
Entity
Organization
Contact information
Practice address
11507 OXNARD ST UNIT 2, NORTH HOLLYWOOD, CA 91606-4186
(818) 927-4321
(818) 927-4325
Mailing address
11507 OXNARD ST, UNIT 2, NORTH HOLLYWOOD, CA 91606-4185
(818) 927-4321
(818) 927-4325
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
55969
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177864
PK
—
Enumeration date
05/22/2018
Last updated
09/19/2025
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