Individual
DR. DEREK JAMES QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D., R.PH.
Contact information
Practice address
8822 PORTAGE RD, WESTLAKE DRUG, INC., PORTAGE, MI 49002-6416
(269) 327-3049
(269) 327-5817
Mailing address
8822 PORTAGE ROAD, WESTLAKE DRUG, INC., PORTAGE, MI 49002
(269) 327-3049
(269) 327-5817
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302034568
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302034568
STATE PHARMACY/CONTROLLED
MI
Enumeration date
05/10/2006
Last updated
07/11/2007
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