Provider Demographics
NPI:1164038485
Name:QUINN'S FAMILY PHARMACY OF NEWTON, INC
Entity Type:Organization
Organization Name:QUINN'S FAMILY PHARMACY OF NEWTON, INC
Other - Org Name:QUINN'S PHARMACY NEWTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TESA
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:601-616-4212
Mailing Address - Street 1:193 NORTHSIDE DR
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MS
Mailing Address - Zip Code:39345-9523
Mailing Address - Country:US
Mailing Address - Phone:601-357-9257
Mailing Address - Fax:601-357-9280
Practice Address - Street 1:193 NORTHSIDE DR
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MS
Practice Address - Zip Code:39345-9523
Practice Address - Country:US
Practice Address - Phone:601-357-9257
Practice Address - Fax:601-357-9280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-22
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy