Organization
MCQUADES HOME INFUSION
Active
Other names
McQuades Specialty Pharmacy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY MCQUADE (PRESIDENT)
(860) 536-3349
Entity
Organization
Contact information
Practice address
10 CLARA DR, MYSTIC, CT 06355-1957
(860) 536-3349
(860) 536-3451
Mailing address
10 CLARA DR, MYSTIC, CT 06355-1957
(860) 536-3349
(860) 536-3451
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PCY0002117
CT
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0721173
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/15/2008
Last updated
08/06/2012
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