Organization
QUALITY SPECIALTY PHARMACY INC
Active
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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