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
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 PharmacyCommunity/Retail Pharmacy

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