Provider Demographics
NPI:1366263642
Name:QTK HEALTHCARE INC
Entity type:Organization
Organization Name:QTK HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:QUANG
Authorized Official - Middle Name:K
Authorized Official - Last Name:THAI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:626-456-3862
Mailing Address - Street 1:9008 GARVEY AVE STE A
Mailing Address - Street 2:
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-3370
Mailing Address - Country:US
Mailing Address - Phone:626-427-1302
Mailing Address - Fax:626-469-5740
Practice Address - Street 1:9008 GARVEY AVE STE A
Practice Address - Street 2:
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-3370
Practice Address - Country:US
Practice Address - Phone:626-427-1302
Practice Address - Fax:626-469-5740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy