Organization
QUALITY SPECIALTY PHARMACY INC
Active
Other names
Quality Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VADIM PINHASOV (OWNER)
(917) 414-9843
Entity
Organization
Contact information
Practice address
5144 E. BUSCH BLVD, TAMPA, FL 33617
(813) 988-7600
(813) 988-7676
Mailing address
5144 E BUSCH BLVD, TAMPA, FL 33617-5306
(813) 988-7600
(813) 988-7676
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH24001
FL
3336C0003X
Community/Retail Pharmacy
Primary
PH24001
FL
3336S0011X
Specialty Pharmacy
PH24001
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1044849
NCPDP PROVIDER
FL
Enumeration date
04/13/2009
Last updated
11/19/2015
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