Provider Demographics
NPI:1629788583
Name:HATFIELD, QUINLYNN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:QUINLYNN
Middle Name:
Last Name:HATFIELD
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 1:105 DUNCAN RD STE A
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:WV
Mailing Address - Zip Code:24924-9613
Mailing Address - Country:US
Mailing Address - Phone:304-799-1077
Mailing Address - Fax:304-799-6490
Practice Address - Street 1:105 DUNCAN RD STE A
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:WV
Practice Address - Zip Code:24924-9613
Practice Address - Country:US
Practice Address - Phone:304-799-1077
Practice Address - Fax:304-799-6490
Is Sole Proprietor?:No
Enumeration Date:2022-12-01
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0013308183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist