Provider Demographics
NPI:1407638240
Name:QUAST, CHLOE (PHARMD)
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:
Last Name:QUAST
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 1:8085 WELL RD
Mailing Address - Street 2:
Mailing Address - City:SHOW LOW
Mailing Address - State:AZ
Mailing Address - Zip Code:85901-0015
Mailing Address - Country:US
Mailing Address - Phone:540-735-5560
Mailing Address - Fax:
Practice Address - Street 1:715 N MAIN ST
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:AZ
Practice Address - Zip Code:85939-5005
Practice Address - Country:US
Practice Address - Phone:928-536-6885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-17
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS026737183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist