Provider Demographics
NPI:1396593943
Name:QUAYLE, EMILY BETH (PHARM D)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:BETH
Last Name:QUAYLE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 650113
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:UT
Mailing Address - Zip Code:84665-0113
Mailing Address - Country:US
Mailing Address - Phone:435-851-1405
Mailing Address - Fax:
Practice Address - Street 1:273 E 1000 N
Practice Address - Street 2:
Practice Address - City:SPANISH FORK
Practice Address - State:UT
Practice Address - Zip Code:84660-5998
Practice Address - Country:US
Practice Address - Phone:801-504-9530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11397836-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist