Organization
QUILLINS QUALITY INC
Active
Other names
QUILLINS HEALTH Q PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LLOYD PAYNE RPH (PHARMACY MANAGER)
(608) 784-6200
Entity
Organization
Contact information
Practice address
3954 MORMON COULEE RD, LA CROSSE, WI 54601-7916
(608) 784-6200
(608) 784-3808
Mailing address
3954 MORMON COULEE RD, LA CROSSE, WI 54601-7916
(608) 784-6200
(608) 784-3808
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
8534042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33157200
—
WI
05
—
4563603
—
WI
01
—
5119056
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/20/2006
Last updated
07/31/2009
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