Provider Demographics
NPI:1366532764
Name:QUICK RX DRUGS INC
Entity type:Organization
Organization Name:QUICK RX DRUGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:A
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-966-5665
Mailing Address - Street 1:PO BOX 7709
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:GA
Mailing Address - Zip Code:31418-7709
Mailing Address - Country:US
Mailing Address - Phone:912-748-3194
Mailing Address - Fax:912-748-8190
Practice Address - Street 1:110 MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:POOLER
Practice Address - State:GA
Practice Address - Zip Code:31322-1956
Practice Address - Country:US
Practice Address - Phone:912-748-3194
Practice Address - Fax:912-748-8190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-14
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPHRE0089013336C0004X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000480675EMedicaid
GA0743710004Medicare NSC