Individual
TERRANCE QUALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHTECH
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
470101090265773
NJ
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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