Individual
DR. JON DARRELL QUILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
103 BRYANT DR, NICHOLASVILLE, KY 40356-8058
(859) 881-1647
(859) 881-0427
Mailing address
141 LOGAN LN, NICHOLASVILLE, KY 40356-9629
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012529
KY
Other
Enumeration date
10/31/2020
Last updated
10/31/2020
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