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QUAD/MED LLC NPI 1912378431


NPI Information

NPI: 1912378431
Provider Name: QUAD/MED, LLC
Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

CLIA Number: 52D0676414

Address:
270 ABNER JACKSON PKWY
LAKE JACKSON, TX
ZIP 77566
Phone: (979) 316-5050
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QUAD/MED, LLC is a clinic pharmacy pharmacy in Lake Jackson, TX. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. QUAD/MED, LLC NPI is 1912378431. The provider is registered as an organization entity type.

The provider's business location address is:

270 ABNER JACKSON PKWY
LAKE JACKSON, TX
ZIP 77566-124
Phone: (979) 316-5050
Fax: (979) 316-5048

The provider's authorized official is Robert L Poulsen .
The authorized official title is Cfo and has the following contact phone number (414) 566-8400.

The CLIA number assigned to this NPI record is 52D0676414 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/9/2015 and was last updated on 2/10/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0002XPharmacyClinic PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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