Cossie Claude Quillen, RPH Valid NPI
Individual provider · Pharmacist · Hindman, KY
- NPI
- 1902196363
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 7039 (KY)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2011-04-19
- Last updated
- 2011-04-19
Practice location
100 Holly Hills Mall Rd
Hindman, KY 41822-9122
(606) 785-4960