Individual
MR. COSSIE CLAUDE QUILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
100 HOLLY HILLS MALL RD, HINDMAN, KY 41822-9122
(606) 785-4960
Mailing address
100 HOLLY HILLS SHOPPING CENTER, HINDMAN, KY 41822
(606) 785-4960
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7039
KY
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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