Organization
QUAD/MED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L POULSEN (CFO)
(414) 566-8400
Entity
Organization
Contact information
Practice address
270 ABNER JACKSON PKWY, LAKE JACKSON, TX 77566-5124
(979) 316-5050
(979) 316-5048
Mailing address
W227N6103 SUSSEX RD, SUSSEX, WI 53089-3969
(414) 566-8400
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
10/09/2015
Last updated
07/08/2025
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