Provider Demographics
NPI:1982995361
Name:QUIGLEY, RICHARD C (PHARMD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:C
Last Name:QUIGLEY
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 1:101 GRAY ROCKS LN
Mailing Address - Street 2:
Mailing Address - City:TAFTON
Mailing Address - State:PA
Mailing Address - Zip Code:18464-9612
Mailing Address - Country:US
Mailing Address - Phone:570-228-8774
Mailing Address - Fax:570-992-2617
Practice Address - Street 1:ROUTES 209/115
Practice Address - Street 2:
Practice Address - City:BRODHEADSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18322
Practice Address - Country:US
Practice Address - Phone:570-992-2373
Practice Address - Fax:570-992-2617
Is Sole Proprietor?:No
Enumeration Date:2011-04-20
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP046453183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist