Provider Demographics
NPI:1275895534
Name:QUINN, LAMAR T (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LAMAR
Middle Name:T
Last Name:QUINN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9808 N MACARTHUR BLVD
Mailing Address - Street 2:210
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-4713
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2060 S BUCKNER BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75217-1823
Practice Address - Country:US
Practice Address - Phone:214-398-8754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-13
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51226183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist