| Timothy Wyatt Quillen, | |
|
437 James E Hannah Dr, South Shore, KY 41175-9600 | |
| (606) 932-3614 | |
| Not Available |
| Full Name | Timothy Wyatt Quillen |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 437 James E Hannah Dr, South Shore, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093412025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 008916 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Wyatt Quillen, 2216 Ohio River Rd, Greenup, KY 41144-6603 Ph: (606) 923-9155 | Timothy Wyatt Quillen, 437 James E Hannah Dr, South Shore, KY 41175-9600 Ph: (606) 932-3614 |
Dora Jo Williams, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 437 James E Hannah Dr, South Shore, KY 41175 Phone: 606-932-3614 Fax: 606-932-3614 | |
Lisa Carol Garrison, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 142 Depot Dr, South Shore, KY 41175 Phone: 606-932-2138 Fax: 606-932-2120 |