Provider Demographics
NPI:1679906390
Name:DEVINNEY, QUINN ALYSE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:QUINN
Middle Name:ALYSE
Last Name:DEVINNEY
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 1:1078 SCARLET OAK DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-7765
Mailing Address - Country:US
Mailing Address - Phone:724-570-5540
Mailing Address - Fax:
Practice Address - Street 1:1811 W US HIGHWAY 50
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81008-1646
Practice Address - Country:US
Practice Address - Phone:719-296-8007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-16
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03331369183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist