Individual
DANIEL QUILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
777 N BROADWAY STE 101, PHELPS COMMUNITY PHARMACY, SLEEPY HOLLOW, NY 10591-1019
(914) 366-1400
Mailing address
27 HEWITT RD, HEWITT, NJ 07421-1105
(267) 294-5749
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
060324-1
NY
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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