| NPI | 1487789244 |
|---|---|
| Doing Business As | QRC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TIM R MIXON President 251-947-5593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2016-04-11 |