Scott Bullock

NPI #1104194166 in Davenport, Iowa

Provider Information

NPI Number: 1104194166
Entity Type: Individual
Name: Scott Bullock
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Dec 6, 2011
Last Updated: Dec 6, 2011

Practice Location

Address: 1660 W LOCUST ST
City: Davenport
State: Iowa
ZIP Code: 52804-3636
Phone: (563) 324-3508

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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