Provider Demographics
NPI:1699054957
Name:QUINLAN, AMY SARAH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:SARAH
Last Name:QUINLAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 PLANTATION ST
Mailing Address - Street 2:APARTMENT 113
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-4322
Mailing Address - Country:US
Mailing Address - Phone:774-930-1186
Mailing Address - Fax:
Practice Address - Street 1:10 STAFFORD RD
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02721-2506
Practice Address - Country:US
Practice Address - Phone:508-679-9600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH233506183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist