Timothy Wyatt Quillen
NPI #1093412025 in South Shore, Kentucky
Provider Information
- NPI Number
- 1093412025
- Entity Type
- Individual
- Name
- Timothy Wyatt Quillen
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Feb 9, 2023
- Last Updated
- Feb 9, 2023
Practice Location
- Address
- 437 JAMES E HANNAH DR
- City
- South Shore
- State
- Kentucky
- ZIP Code
- 41175-9600
- Phone
- (606) 932-3614
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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Organizations
| Provider Name | |
|---|---|
| Eldron, INC |
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