Organization
QUICK MED PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRAN VENIGALLA RPH (PHARMACIST)
(732) 692-7986
Entity
Organization
Contact information
Practice address
1221 MAIN ST, ASBURY PARK, NJ 07712-5940
(732) 692-7986
(732) 897-1515
Mailing address
1221 MAIN ST, ASBURY PARK, NJ 07712-5940
(732) 692-7986
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NJ
3336S0011X
Specialty Pharmacy
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0419842
—
NJ
01
—
7045600001
MEDICARE PTAN
—
Enumeration date
10/29/2013
Last updated
02/08/2025
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