Organization
QUEENS PARK RD LLC
Active
Other names
Queens Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RUTVIJ PARIKH PHARMD (OWNER)
(980) 880-6400
Entity
Organization
Contact information
Practice address
10635 PARK RD UNIT C, CHARLOTTE, NC 28210-8408
(980) 880-6400
Mailing address
10635 PARK RD UNIT C, CHARLOTTE, NC 28210-8408
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
06/04/2024
Last updated
10/17/2024
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