Organization
Q R G INC
Active
Other names
DUANES DISCOUNT DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
DUANE MCKOWN RPH (OWNER)
(863) 859-3222
Entity
Organization
Contact information
Practice address
5175 US HIGHWAY 98 N, LAKELAND, FL 33809-0531
(863) 859-3222
(863) 859-3966
Mailing address
5175 US HIGHWAY 98 N, LAKELAND, FL 33809-0531
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH21512
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1015569
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/11/2006
Last updated
10/04/2007
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