E.a. Mccullough, Inc.
NPI #1043329824 in Lake Geneva, Wisconsin
Provider Information
- NPI Number
- 1043329824
- Entity Type
- Organization
- Organization Name
- E.a. Mccullough, Inc.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 29, 2006
- Last Updated
- Feb 4, 2008
Practice Location
- Address
- 269 BROAD ST
- City
- Lake Geneva
- State
- Wisconsin
- ZIP Code
- 53147-1809
- Phone
- (262) 248-6226
Authorized Official
- Name
- MR. JAMES EDWARD MCCULLOUGH, RPH
- Title
- PRESIDENT
- Phone
- (262) 248-6226
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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