| NPI | 1164142196 |
|---|---|
| Doing Business As | QIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY ALSABROOK Owner 817-832-2626 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2023-09-14 |