Provider Demographics
NPI:1487789244
Name:QUALITY RESPIRATORY INC
Entity type:Organization
Organization Name:QUALITY RESPIRATORY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TIM
Authorized Official - Middle Name:R
Authorized Official - Last Name:MIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-947-5593
Mailing Address - Street 1:14965 HWY 59
Mailing Address - Street 2:STE 101
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-3552
Mailing Address - Country:US
Mailing Address - Phone:251-947-5593
Mailing Address - Fax:
Practice Address - Street 1:14965 HWY 59
Practice Address - Street 2:STE 101
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-3552
Practice Address - Country:US
Practice Address - Phone:251-947-5593
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL5694850002Medicare NSC