Organization
QUAKER STATE MEDICAL SERVICES CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL S. POLAY (PRESIDENT)
(610) 458-9250
Entity
Organization
Contact information
Practice address
760 CONSTITUTION DR, SUITE 20, EXTON, PA 19341-1149
(610) 458-9250
(610) 458-9207
Mailing address
760 CONSTITUTION DR, SUITE 20, EXTON, PA 19341-1149
(610) 458-9250
(610) 458-9207
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHC065
PTAN
PA
Enumeration date
08/10/2006
Last updated
09/09/2008
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