Organization
QCP WYLIE LLC
Active
Other names
Quality Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN C GOODSON (OWNER)
(972) 442-5333
Entity
Organization
Contact information
Practice address
2300 W FM 544 STE 130, WYLIE, TX 75098-4903
(972) 442-5333
(972) 442-5356
Mailing address
2300 W FM 544, STE 130, WYLIE, TX 75098-4931
(972) 442-5333
(972) 442-5356
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
29787
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150121
—
TX
01
—
2148600
PK
—
Enumeration date
11/03/2014
Last updated
11/09/2024
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