Provider Demographics
NPI:1346468873
Name:QUINLEY, JAMES PATRICK
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:PATRICK
Last Name:QUINLEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4915 DAVENPORT ST
Mailing Address - Street 2:APT. 7
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68132-2931
Mailing Address - Country:US
Mailing Address - Phone:402-558-8888
Mailing Address - Fax:402-558-7388
Practice Address - Street 1:4915 DAVENPORT ST
Practice Address - Street 2:APT. 7
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68132-2931
Practice Address - Country:US
Practice Address - Phone:402-558-8888
Practice Address - Fax:402-558-7388
Is Sole Proprietor?:No
Enumeration Date:2007-04-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11703183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist